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1619328531

NPI Code Detail

MEDICARE: KATHY O AGIRI

MEDICARE: KATHY O AGIRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0024184951	VA
2	207Q00000X	Family Medicine Physician	APRN11017414	FL
3	207Q00000X	Family Medicine Physician	RN771906	PA
4	207Q00000X	Family Medicine Physician	73459	NM
5	207Q00000X	Family Medicine Physician	53-80878-031	KS
6	207Q00000X	Family Medicine Physician	LG-0012611	DE
7	207Q00000X	Family Medicine Physician	2900130	AZ
8	207Q00000X	Family Medicine Physician	A167152	IA
9	207Q00000X	Family Medicine Physician	COND2374574	MA
10	261QM2500X	Medical Specialty Clinic/Center	RN15273	CT
11	207Q00000X	Family Medicine Physician	30926	TN
12	363LF0000X	Family Nurse Practitioner	129726	TX
13	207Q00000X	Family Medicine Physician	0033510	OH
14	261QM2500X	Medical Specialty Clinic/Center	26NJ150158000	NJ
15	363LF0000X	Family Nurse Practitioner	10261	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619328531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY O AGIRI

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	850-304-7986
Fax Number	:	407-770-0661

Provider Business Practice Location Address
First Line	:	1855 GATTIS SCHOOL RD
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7428
Country	:	US
Telephone Number	:	512-238-6268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	05/06/2026

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Directions to “ KATHY O AGIRI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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