Provider Demographics
NPI:1689160509
Name:AGNIHOTRI, VARSHA (DMD)
Entity type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:
Last Name:AGNIHOTRI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 PARK AVE APT 10B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4571
Mailing Address - Country:US
Mailing Address - Phone:908-227-0999
Mailing Address - Fax:
Practice Address - Street 1:919 2ND AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1582
Practice Address - Country:US
Practice Address - Phone:212-949-6105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02721000122300000X
NY061482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist