Healthcare Provider Details

I. General information

NPI: 1609946201
Provider Name (Legal Business Name): PAURAVI HARKISANDAS SANGHADIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAURAVI NIRAJ SANGHADIA-BHATT M.D.

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S AVENUE A
YUMA AZ
85364-7170
US

IV. Provider business mailing address

PO BOX 40908
FAYETTEVILLE NC
28309-0908
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-7321
  • Fax:
Mailing address:
  • Phone: 910-615-6949
  • Fax: 910-615-9761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2024-02069
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2024-02069
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36805
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101248636
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: