Nisha Agarwal
Individual provider Active NPI Pediatric Critical Care Medicine Physician · Fargo, ND
NPI 1174928162 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1174928162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- License
- 16699 (ND)
- Practice address
- 5225 23Rd Ave S
Fargo, ND 58104-7927 - Phone
- (701) 417-2575
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | 16699 | ND | Yes |
Addresses
Primary practice location
5225 23Rd Ave S
Fargo, ND 58104-7927
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Fargo, ND
- Habiba Afifi
- Sarah Afriyie
- Kathryn Ann Agamawi
- Yusuf Mosen Agamawi
- Agape Homecare LLC
- Saloni Sunil Agarwal
- Ryan Agema
- Ajay Aggarwal
- Ozheh Aghdasi
- Nagawo H Ago
All providers in Fargo, ND · Pediatric Critical Care Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.