Provider Demographics
NPI:1184870891
Name:KIRANRAJ SANGHVI, YOGESH
Entity type:Individual
Prefix:
First Name:YOGESH
Middle Name:
Last Name:KIRANRAJ SANGHVI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14134 NEPHRON LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-8554
Mailing Address - Country:US
Mailing Address - Phone:727-863-5418
Mailing Address - Fax:727-497-6784
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5183
Practice Address - Country:US
Practice Address - Phone:941-744-0024
Practice Address - Fax:941-746-1048
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39628207R00000X, 207RN0300X
390200000X
FLME141506207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program