Provider Demographics
NPI:1659578623
Name:AGARWAL-SINHA, SWATI (MD)
Entity type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:AGARWAL-SINHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 N WESTHILL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-5830
Mailing Address - Country:US
Mailing Address - Phone:920-751-8666
Mailing Address - Fax:920-751-8676
Practice Address - Street 1:480 PILGRIM WAY STE 1305
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5279
Practice Address - Country:US
Practice Address - Phone:920-592-0111
Practice Address - Fax:920-592-1146
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50587-20207W00000X, 207WX0107X
WAMD61238685207W00000X, 207WX0107X
FLMFC1722207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012130800Medicaid
FLHU770ZMedicare PIN
NVEF023ZMedicare PIN