Provider Demographics
NPI:1356415715
Name:AGARWAL, ANJANA SINGH (MS RD LDN CNSD)
Entity type:Individual
Prefix:MS
First Name:ANJANA
Middle Name:SINGH
Last Name:AGARWAL
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Gender:F
Credentials:MS RD LDN CNSD
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Mailing Address - Street 1:19809 B NORTH COVE ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031
Mailing Address - Country:US
Mailing Address - Phone:704-895-9865
Mailing Address - Fax:704-895-9870
Practice Address - Street 1:16501 D NORTHCROSS DRIVE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-895-9865
Practice Address - Fax:704-895-9870
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCL000530133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered