Provider Demographics
NPI:1255421723
Name:SANGARI, TARANJIT SINGH (MD)
Entity type:Individual
Prefix:
First Name:TARANJIT
Middle Name:SINGH
Last Name:SANGARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 106000
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-1113
Mailing Address - Fax:505-272-1300
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 106000
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-3001
Practice Address - Country:US
Practice Address - Phone:505-272-2610
Practice Address - Fax:505-272-1300
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC131576207L00000X, 207LP3000X
ARE4621207L00000X
NMMD2021-1056207L00000X, 207LP3000X
FLME128176207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017631000Medicaid
AR158428001Medicaid
FLIP674ZMedicare PIN
I43537Medicare UPIN
CACA148971Medicare PIN
5N344Medicare PIN