Aguwa, Mridasim O

Aguwa, Mridasim O is an individual health care provider with primary practice located at 30 Columbia St , Poughkeepsie NY 12601-3906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Aguwa, Mridasim O can be contacted via phone (845) 231-5600.

Contact Information

Primary practice address
30 Columbia St Poughkeepsie NY 12601-3906
Fax: (845) 231-5654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 236372 New York

Profile Details

NPI number 1275560492
LBN Legal business name Aguwa, Mridasim O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 15th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275560492 NPPES
New York MEDICAID 2680046

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