1831188606 NPI number — HARSHAD V SANGHVI MD

Table of content: HARSHAD V SANGHVI MD (NPI 1831188606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831188606 NPI number — HARSHAD V SANGHVI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANGHVI
Provider First Name:
HARSHAD
Provider Middle Name:
V
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANGHVI
Provider Other First Name:
HARSHAD
Provider Other Middle Name:
V
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD PC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1831188606
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 758
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01082-0758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-967-9974
Provider Business Mailing Address Fax Number:
413-967-9975

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 SOUTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01082-1667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-967-9974
Provider Business Practice Location Address Fax Number:
413-967-9975
Provider Enumeration Date:
10/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  50530 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13950 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J06456 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9775277 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000006294 . This is a "HEALTH NET PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 16183 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 726097 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 775136 . This is a "CONNECTICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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