Provider Demographics
NPI:1558854935
Name:AGRAWAL, GARIMA (MD)
Entity Type:Individual
Prefix:DR
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 1:2226 W NORTHERN AVE STE C212
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4929
Mailing Address - Country:US
Mailing Address - Phone:480-776-2982
Mailing Address - Fax:480-917-7309
Practice Address - Street 1:1221 ASHLEY CIR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3383
Practice Address - Country:US
Practice Address - Phone:270-782-9424
Practice Address - Fax:270-782-9445
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY501612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology