Provider Demographics
NPI:1093900706
Name:HARSHAD V. SANGHVI, MD, PC
Entity Type:Organization
Organization Name:HARSHAD V. SANGHVI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHAD
Authorized Official - Middle Name:V
Authorized Official - Last Name:SANGHVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-967-9974
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-0758
Mailing Address - Country:US
Mailing Address - Phone:413-967-9974
Mailing Address - Fax:413-967-9975
Practice Address - Street 1:85 SOUTH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1625
Practice Address - Country:US
Practice Address - Phone:413-967-9974
Practice Address - Fax:413-967-9975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50530207RC0000X, 246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM16147Medicare PIN