Provider Demographics
NPI:1881123438
Name:SANGHVI, ANKUR TARUN (PEER COUNSELOR)
Entity type:Individual
Prefix:
First Name:ANKUR
Middle Name:TARUN
Last Name:SANGHVI
Suffix:
Gender:M
Credentials:PEER COUNSELOR
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:
Other - Last Name:SANGHVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA PEER COUNSELOR
Mailing Address - Street 1:209 MILWAUKEE ST APT 209
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4200
Mailing Address - Country:US
Mailing Address - Phone:360-419-7570
Mailing Address - Fax:
Practice Address - Street 1:209 MILWAUKEE STEET
Practice Address - Street 2:209
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274
Practice Address - Country:US
Practice Address - Phone:360-419-7570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty