Provider Demographics
NPI:1487668166
Name:AGARWAL, REITA NIRANKARI (MD, MBA,MS)
Entity Type:Individual
Prefix:DR
First Name:REITA
Middle Name:NIRANKARI
Last Name:AGARWAL
Suffix:
Gender:F
Credentials:MD, MBA,MS
Other - Prefix:DR
Other - First Name:REITA
Other - Middle Name:NIRANKARI
Other - Last Name:AGGARWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBA,MS
Mailing Address - Street 1:625 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2495
Mailing Address - Country:US
Mailing Address - Phone:615-904-8911
Mailing Address - Fax:615-904-0136
Practice Address - Street 1:1919 CHARLOTTE AVE
Practice Address - Street 2:CHARLOTTE WOMENS CLINIC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2161
Practice Address - Country:US
Practice Address - Phone:615-867-6000
Practice Address - Fax:615-867-5965
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31764261QE0002X, 261QM1300X, 207R00000X
TNMD0000031764282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No282N00000XHospitalsGeneral Acute Care Hospital