MEDICARE: DR. ASHIMA AGARWAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZN0500X	Neuropathology Physician	2011020277	MO
2	207ZP0213X	Pediatric Pathology Physician	2011020277	MO
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	2011020277	MO

General Provider Information

NPI Number	:	1114171915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHIMA AGARWAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 20452
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-0452
Country	:	US
Telephone Number	:	614-457-8180
Fax Number	:	614-583-3300

Provider Business Practice Location Address
First Line	:	615 S NEW BALLAS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8221
Country	:	US
Telephone Number	:	314-251-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2008
Last Update Date	:	02/06/2024

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