Individual provider · Type 1 NPI

Shagun Ganesh Agrawal, DO

Emergency Medicine Physician · Kingman, AZ

NPI number 1104750215 Active

Practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Call (928) 263-3160 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XR4962 (AZ)
Emergency Medicine Physician Primary 207P00000XR4962 (AZ)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1104750215

Shagun Ganesh Agrawal, DO's National Provider Identifier is 1104750215, issued on Jun 12, 2026. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Kingman, AZ. The record was last updated on Oct 1, 2026.