Provider Demographics
NPI:1932719036
Name:SANGHVI, APEKSHA
Entity Type:Individual
Prefix:
First Name:APEKSHA
Middle Name:
Last Name:SANGHVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9098 LAGUNA MAIN ST STE 8
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7449
Mailing Address - Country:US
Mailing Address - Phone:916-683-7300
Mailing Address - Fax:
Practice Address - Street 1:2733 ELK GROVE BLVD STE 180
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7168
Practice Address - Country:US
Practice Address - Phone:916-975-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1051731223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice