Basic Information
| Provider Information | |||||||||
| NPI: | 1760832513 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGARWAL | ||||||||
| FirstName: | NANDITA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 303 4TH AVE APT 409 | ||||||||
| Address2: | |||||||||
| City: | CORALVILLE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522412749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5154514234 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 HAWKINS DR | ||||||||
| Address2: | DEPARTMENT OF RADIOLOGY | ||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193563444 | ||||||||
| FaxNumber: | 3193848114 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2016 | ||||||||
| LastUpdateDate: | 10/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085D0003X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Neuroimaging | 2085H0002X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Hospice and Palliative Medicine | 2085N0700X | MD-50065 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085N0700X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085N0904X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | 2085P0229X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Pediatric Radiology | 2085R0001X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0202X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0203X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Therapeutic Radiology | 2085R0204X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2085R0205X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Radiological Physics | 2085U0001X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound | 2085B0100X | R-10559 | IA | N | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085R0202X | MD-50065 | IA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.