Provider Demographics
NPI:1972765022
Name:SANGHAVI, MOUSHUMI B (MD)
Entity Type:Individual
Prefix:
First Name:MOUSHUMI
Middle Name:B
Last Name:SANGHAVI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:44 GRAMERCY PARK N
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6326
Mailing Address - Country:US
Mailing Address - Phone:212-777-6017
Mailing Address - Fax:212-982-5691
Practice Address - Street 1:44 GRAMERCY PARK N
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6326
Practice Address - Country:US
Practice Address - Phone:212-777-6017
Practice Address - Fax:212-982-5691
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2015-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY242191207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology