Provider Demographics
NPI:1891714838
Name:SANGHVI, MANISHA VIRENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:VIRENDRA
Last Name:SANGHVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14901 RINALDI ST
Mailing Address - Street 2:#330
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1204
Mailing Address - Country:US
Mailing Address - Phone:818-365-7778
Mailing Address - Fax:818-365-7808
Practice Address - Street 1:14901 RINALDI ST
Practice Address - Street 2:#330
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1204
Practice Address - Country:US
Practice Address - Phone:818-365-7778
Practice Address - Fax:818-365-7808
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37095208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A370950Medicaid
CA00A370950Medicaid