Healthcare Provider Details

I. General information

NPI: 1851393375
Provider Name (Legal Business Name): SUNITA AGARWAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 04/08/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 METRO PL S STE 100
DUBLIN OH
43017-5353
US

IV. Provider business mailing address

1288 TALON RIDGE CT
DAYTON OH
45440-4306
US

V. Phone/Fax

Practice location:
  • Phone: 415-671-2165
  • Fax:
Mailing address:
  • Phone: 937-657-7165
  • Fax: 937-848-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35-07-3834
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: