NPI 1114548864 · live from the CMS NPI Registry
Sanjay Agarwal, DO
Dermatology in Brandon, FL. National Provider Identifier 1114548864, active.
NPI record
| NPI | 1114548864 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 405 W Bloomingdale Ave, Brandon, FL 33511 |
| Practice phone | 813-662-3376 |
| Enumerated | May 5, 2020 |
| Last updated | June 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 5151014311 (MI) |
| Dermatology primary | 207N00000X | OS20820 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.