Healthcare Provider Details

I. General information

NPI: 1144215138
Provider Name (Legal Business Name): SUDHIR AGARWAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3543 LITTLE RD STE A
TRINITY FL
34655-1814
US

IV. Provider business mailing address

2410 NORTHSIDE DR STE A
CLEARWATER FL
33761-2236
US

V. Phone/Fax

Practice location:
  • Phone: 727-848-6400
  • Fax: 727-848-6200
Mailing address:
  • Phone: 727-499-0351
  • Fax: 727-223-4159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME64377
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: