Provider Demographics
NPI:1104868082
Name:SARANGLAO, ALEJANDRO JR (MD)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:SARANGLAO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 PLEASANT STREET
Mailing Address - Street 2:SUITE G100
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2526
Mailing Address - Country:US
Mailing Address - Phone:603-224-9661
Mailing Address - Fax:603-228-7051
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:SUITE G100
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-9661
Practice Address - Fax:603-228-7051
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12176207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA16415OtherHARVARD PILGRIM
NH30204448Medicaid
NHP00169515OtherRAIL ROAD MEDICARE
NH386552OtherMVP HEALTH CARE (INT. MED
NH386553OtherMVP HEALTH CARE (CRITICAL
NH386554OtherMVP HEALTH CARE (PULM CAR
NH1104868082OtherANTHEM BLUE CROSS
NH7794663OtherAETNA
ME414210099Medicaid
NH386552OtherMVP HEALTH CARE (INT. MED
NHI1197Medicare UPIN