Agarwal, Pratibha
Agarwal, Pratibha is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Agarwal, Pratibha can be contacted via phone (417) 761-5000.Contact Information
Primary practice address
1300 E Bradford Pkwy
Springfield MO 65804
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | T4101 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | T4101 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2014029670 | Missouri |
Profile Details
| NPI number | 1669761706 |
|---|---|
| LBN Legal business name | Agarwal, Pratibha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2011 |
| Last updated | Oct 10th, 2023 - about 3 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 | 1669761706 | NPPES |
| Missouri | Other | 104530117 | MEDICARE |
| Missouri | MEDICAID | 200018118 | MEDICARE |
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