Provider Demographics
NPI:1255509576
Name:SANGHVI, CHIRAG (MD, MPH)
Entity type:Individual
Prefix:
First Name:CHIRAG
Middle Name:
Last Name:SANGHVI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 THOMAS JOHNSON DR
Mailing Address - Street 2:215
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4397
Mailing Address - Country:US
Mailing Address - Phone:301-668-9988
Mailing Address - Fax:
Practice Address - Street 1:161 FORT EVANS RD NE
Practice Address - Street 2:SUITE 340
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3369
Practice Address - Country:US
Practice Address - Phone:703-443-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100606207L00000X
WAMD60193722207L00000X
OH57.019241207LP2900X
MDD74728207LP2900X
VA0101257227207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology