Provider Demographics
NPI:1760804314
Name:SANGHERA-JHAWAR, NIVIE (DO)
Entity Type:Individual
Prefix:DR
First Name:NIVIE
Middle Name:
Last Name:SANGHERA-JHAWAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1992 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4818
Mailing Address - Country:US
Mailing Address - Phone:714-473-6655
Mailing Address - Fax:
Practice Address - Street 1:1992 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4818
Practice Address - Country:US
Practice Address - Phone:714-473-6655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7991207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine