Provider Demographics
NPI:1104132331
Name:AGRAWAL, GARIMA (MD)
Entity type:Individual
Prefix:
First Name:GARIMA
Middle Name:
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CMPS BOX 8131, WASH UNIV-DEPT OF NUCLEAR MEDICINE
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-2809
Mailing Address - Fax:314-362-2806
Practice Address - Street 1:660 S EUCLID AVE
Practice Address - Street 2:CMPS BOX 8131, WASH UNIV-DEPT OF NUCLEAR MEDICINE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1010
Practice Address - Country:US
Practice Address - Phone:314-362-2809
Practice Address - Fax:314-362-2806
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2010009148207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine