Provider Demographics
NPI:1457316614
Name:SANGHVI, ANUP H (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUP
Middle Name:H
Last Name:SANGHVI
Suffix:
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 1:6360 W SAM HOUSTON PKWY N
Mailing Address - Street 2:#200-C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5164
Mailing Address - Country:US
Mailing Address - Phone:713-280-0400
Mailing Address - Fax:
Practice Address - Street 1:6360 W SAM HOUSTON PKWY N
Practice Address - Street 2:#200-C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5164
Practice Address - Country:US
Practice Address - Phone:713-280-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64214207P00000X, 207Q00000X
TXK7387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A642140Medicaid
TX8L3533Medicare UPIN
CA00A642140Medicare ID - Type UnspecifiedMEDICARE
TX00Y409Medicare PIN
CAG87774Medicare UPIN