SANGHADIA, PAURAVI HARKISANDAS (MD)

Provider Demographics

• NPI: 1609946201
• Name: SANGHADIA, PAURAVI HARKISANDAS (MD)
• Entity Type: Individual
• First Name: PAURAVI
• Middle Name: HARKISANDAS
• Last Name: SANGHADIA
• Gender: F
• Credentials: MD
• Other - First Name: PAURAVI
• Other - Middle Name: NIRAJ
• Other - Last Name: SANGHADIA-BHATT
• Other - Last Name Type: Former Name
• Other - Credentials: MD
• Mailing Address - Street 1: 5028 HICKORY MEADOWS PL
• Mailing Address - City: GLEN ALLEN
• Mailing Address - State: VA
• Mailing Address - Zip Code: 23059-2653
• Mailing Address - Country: US
• Mailing Address - Phone: 804-514-6958
• Practice Address - Street 1: 7101 JAHNKE RD
• Practice Address - City: RICHMOND
• Practice Address - State: VA
• Practice Address - Zip Code: 23225-4017
• Practice Address - Country: US
• Practice Address - Phone: 804-514-6958
• Is Sole Proprietor?: No
• Enumeration Date: 2006-11-09
• Last Update Date: 2018-03-17

Provider Licenses

State	License ID	Taxonomies
AZ	36805	207R00000X
NC	116755	207R00000X
VA	0101248636	207R00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	1245344316	Other	CLINIC NPI
	1043324932	Other	CLINIC NPI
	1962507376	Other	CLINIC NPI
AZ	199969	Medicaid
	1063433720	Other	CLINIC NPI
	031805	Medicare Oscar/Certification
	I72304	Medicare UPIN
AZ	Z21130	Medicare PIN
AZ	Z114627	Medicare PIN
	1962507376	Other	CLINIC NPI
	031823	Medicare Oscar/Certification
AZ	Z114628	Medicare PIN
	031822	Medicare Oscar/Certification
AZ	Z114629	Medicare PIN
	1063433720	Other	CLINIC NPI
	1245344316	Other	CLINIC NPI
AZ	199969	Medicaid