Agarwal, Supatra A
Agarwal, Supatra A is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Department Of Anesthesiology, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Agarwal, Supatra A can be contacted via phone (414) 805-8700.Contact Information
Primary practice address
9200 W Wisconsin Avenue Department Of Anesthesiology
Milwaukee WI 53226-3522
Phone: (414) 805-8700
Fax: (414) 259-1522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 95 | Wisconsin |
Profile Details
| NPI number | 1033589635 |
|---|---|
| LBN Legal business name | Agarwal, Supatra A |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2015 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1033589635 | NPPES |
| Florida | MEDICAID | 015797000 |
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