Provider Demographics
NPI:1598063190
Name:SANGANI, RAHUL G (MD)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:G
Last Name:SANGANI
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 1:101 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-7911
Mailing Address - Country:US
Mailing Address - Phone:304-598-4855
Mailing Address - Fax:304-598-6880
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9711
Practice Address - Country:US
Practice Address - Phone:304-598-4855
Practice Address - Fax:304-598-6880
Is Sole Proprietor?:No
Enumeration Date:2011-03-05
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program