Agarwal, Archana Mishra
Agarwal, Archana Mishra is an sole proprietor health care provider with primary practice located at 15 Medical Dr Emma Eccles Jones Medical Sci, Rm 2100, Salt Lake City UT 84112-1100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Agarwal, Archana Mishra can be contacted via phone (801) 581-2507.Contact Information
Primary practice address
15 Medical Dr Emma Eccles Jones Medical Sci, Rm 2100
Salt Lake City UT 84112-1100
Phone: (801) 581-2507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5990116-1205 | Utah |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 5990116-1205 | Utah |
Profile Details
| NPI number | 1245488667 |
|---|---|
| LBN Legal business name | Agarwal, Archana Mishra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Dec 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245488667 | NPPES |
| Utah | Other | P00907158 | RAILROAD MEDICARE PTAN |
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