Healthcare Provider Details

I. General information

NPI: 1467170712
Provider Name (Legal Business Name): ASHIMA AGARWAL MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

43 NEW SCOTLAND AVENUE, DEPT. OF PEDIATRICS
ALBANY NY
12208
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD600003981
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: