Provider Demographics
NPI:1659336089
Name:AGRAWAL, SABINA (DO)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Mailing Address - Street 2:600 HIGHLAND AVE. ROOM H4/831-8320
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-3284
Mailing Address - Country:US
Mailing Address - Phone:608-263-0571
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Practice Address - Street 2:600 HIGHLAND AVE. ROOM H4/831-8320
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-3284
Practice Address - Country:US
Practice Address - Phone:608-263-0571
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI47396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine