Provider Demographics
NPI:1831188606
Name:SANGHVI, HARSHAD V (MD)
Entity type:Individual
Prefix:
First Name:HARSHAD
Middle Name:V
Last Name:SANGHVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HARSHAD
Other - Middle Name:V
Other - Last Name:SANGHVI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PC
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-0758
Mailing Address - Country:US
Mailing Address - Phone:413-967-9974
Mailing Address - Fax:413-967-9975
Practice Address - Street 1:85 SOUTH ST
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1667
Practice Address - Country:US
Practice Address - Phone:413-967-9974
Practice Address - Fax:413-967-9975
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50530207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA13950OtherAETNA
MAJ06456OtherBLUE CROSS BLUE SHIELD
MA9775277Medicaid
MA000000006294OtherHEALTH NET PLAN
MA16183OtherHEALTH NEW ENGLAND
MA726097OtherTUFTS
MA775136OtherCONNECTICARE
MA726097OtherTUFTS
MAJ06456OtherBLUE CROSS BLUE SHIELD