Provider Demographics
NPI:1780918078
Name:NEGANDHI, JIGNA SHAILESH (MD)
Entity type:Individual
Prefix:DR
First Name:JIGNA
Middle Name:SHAILESH
Last Name:NEGANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JIGNA
Other - Middle Name:ARVIND
Other - Last Name:SOMAIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2185 CONWAY ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-2633
Mailing Address - Country:US
Mailing Address - Phone:732-850-6484
Mailing Address - Fax:
Practice Address - Street 1:22331 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3911
Practice Address - Country:US
Practice Address - Phone:732-283-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2014-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program