Agarwal, Mitali

Agarwal, Mitali is an sole proprietor health care provider with primary practice located at 1720 S Orange Ave Ste 200 , Orlando FL 32806-2932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Agarwal, Mitali can be contacted via phone (321) 842-9000.

Contact Information

Primary practice address
1720 S Orange Ave Ste 200 Orlando FL 32806-2932
Fax: (321) 843-6326
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN22052 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME155845 Florida

Profile Details

NPI number 1154701860
LBN Legal business name Agarwal, Mitali
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2015
Last updated Jan 27th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154701860 NPPES
Florida MEDICAID 116429500

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