SHAGUN GANESH AGRAWAL DO
NPI 1104750215
Student in an Organized Health Care Education/Training Program in Kingman, AZ

Active since June 12, 2026
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 263-3160 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shagun Ganesh Agrawal Do NPPES

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

SHAGUN GANESH AGRAWAL DO (NPI 1104750215) is an individual student in an organized health care education/training program in Kingman, Arizona, licensed in Arizona (R4962) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104750215
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAGUN GANESH AGRAWALCredential: DO
Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-3160
Sole ProprietorNo
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1104750215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AZ · R4962
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3269 N STOCKTON HILL RD, Kingman, AZ 86409

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.

Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Internal Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Pharmacist (Geriatric)
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Physician Assistant
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409

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 Shagun Agrawal's NPI number?

The NPI number for Shagun Agrawal is 1104750215. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Shagun Agrawal located?

Shagun Agrawal practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 263-3160.

What is Shagun Agrawal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shagun Agrawal was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.