Provider Demographics
NPI:1851584270
Name:AGARWAL, HEMANT SHYAM (MBBS)
Entity type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:SHYAM
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W BOWERY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1046
Mailing Address - Country:US
Mailing Address - Phone:330-543-3460
Mailing Address - Fax:330-543-3761
Practice Address - Street 1:214 W BOWERY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1046
Practice Address - Country:US
Practice Address - Phone:330-543-3460
Practice Address - Fax:330-543-3761
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220381382080P0203X
TN35394208000000X, 2080P0203X
OH35.1356672080P0203X
NMMD2014-00912080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0339219Medicaid
MO2022038138OtherMEDICAL LICENSE
TN35394OtherMEDICAL LICENSE