Healthcare Provider Details

I. General information

NPI: 1487668166
Provider Name (Legal Business Name): REITA NIRANKARI AGARWAL MD, MBA,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REITA NIRANKARI AGGARWAL MD, MBA,MS

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 CHARLOTTE AVE CHARLOTTE WOMENS CLINIC
NASHVILLE TN
37203-2161
US

IV. Provider business mailing address

625 N HIGHLAND AVE
MURFREESBORO TN
37130-2495
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-6000
  • Fax: 615-867-5965
Mailing address:
  • Phone: 615-904-8911
  • Fax: 615-904-0136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number31764
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number31764
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberMD0000031764
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31764
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: