Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agnes J Premkumar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134861248

Agnes J Premkumar, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X

Record details

NPI number1134861248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESApril 9, 2022
Certification dateApril 9, 2022

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