Healthcare Provider Details

I. General information

NPI: 1336247592
Provider Name (Legal Business Name): SHWETA AGARWAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 TRUXTUN AVE
BAKERSFIELD CA
93301-3703
US

IV. Provider business mailing address

2208 WEYBRIDGE DR
BAKERSFIELD CA
93311-2918
US

V. Phone/Fax

Practice location:
  • Phone: 661-404-4661
  • Fax:
Mailing address:
  • Phone: 661-404-4661
  • Fax: 661-407-8382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA98555
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberA98555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: