NPI

Divya Agrawal

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2017-07-09
Last updated
2025-01-15

Specialties

Licenses

License FL
PT32377
License IL
070024389

Location

Practice location
1695 Main St
City
Chipley FL
Postal code
32428-5992
Phone
(850) 638-3387

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Chipley, FL. 208 records in the public file.

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