NPI 1033589635

Supatra a Agarwal, AA

Practitioner Anesthesiologist Assistant Milwaukee, WI

Practice location

Address: 9200 W Wisconsin Avenue Department of Anesthesiology, Milwaukee, WI 53226-3522
Phone: (414) 805-8700
Fax: (414) 259-1522

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 95 (WI)

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Registry record

NPI: 1033589635
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2015
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.