Provider Demographics
NPI:1457364804
Name:AGAYEVA, KAMILA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMILA
Middle Name:
Last Name:AGAYEVA
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 1:1725 E 12TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1028
Mailing Address - Country:US
Mailing Address - Phone:718-336-1909
Mailing Address - Fax:718-336-1929
Practice Address - Street 1:1725 E 12TH ST
Practice Address - Street 2:SUITE # 301
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1028
Practice Address - Country:US
Practice Address - Phone:718-336-1909
Practice Address - Fax:718-336-1929
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology