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SUPATRA A AGARWAL AA
NPI 1033589635
Anesthesiologist Assistant in Milwaukee, WI

Active since September 25, 2015
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226(414) 805-8700(414) 259-1522 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017, Aug 1, 2017 and 2 more (5 updates tracked since 2015).

About Supatra A Agarwal Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPATRA A AGARWAL AA (NPI 1033589635) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (95) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1033589635
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSUPATRA A AGARWALCredential: AA
Location Address9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Avenue, Department Of AnesthesiologyMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522
Phone(414) 805-8700
Fax(414) 259-1522
Sole ProprietorNo
Enumeration DateSeptember 25, 2015
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1033589635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in WI · 95
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
9200 W WISCONSIN AVENUE, Milwaukee, WI 53226
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Other Names 1

Former Name (1)Supatra A Chantachote Aa

Other Identifiers 1

Medicaid015797000FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK WALTER BOSBOUS
Plastic Surgery
9200 W WISCONSIN AVENUE, PLASTIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. BRIAN ROBERTSON-DICK MD
Physical Medicine & Rehabilitation
9200 W WISCONSIN AVENUE, PHYSICAL MEDICINE AND REHABILITATION
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7342
PROF. KONDRAGUNTA RAJENDRA PRASAD MD
Transplant Surgery
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6400
DR. PRERNA RAJ PANDYA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9200 W WISCONSIN AVENUE, UROGYNECOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
SHERVIN MIRSHAHI M.D.
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
JING QI MD
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
MR. BRIAN G CARLSON MSN
Nurse Practitioner (Acute Care)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3750
GOKULAKRISHNAN BALASUBRAMANIAN M.D.
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supatra Agarwal's NPI number?

The NPI number for Supatra Agarwal is 1033589635. It was assigned to this individual provider in the NPPES registry on September 25, 2015. The provider is also known as Supatra A Chantachote Aa.

Where is Supatra Agarwal located?

Supatra Agarwal practices at 9200 W Wisconsin Avenue Department Of Anesthesiology, Milwaukee, WI 53226. The listed phone number is (414) 805-8700.

What is Supatra Agarwal's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

When was this NPI record last updated?

The NPPES record for Supatra Agarwal was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.