Healthcare Provider Details

I. General information

NPI: 1891714838
Provider Name (Legal Business Name): MANISHA VIRENDRA SANGHVI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8727 VAN NUYS BLVD STE 201
PANORAMA CITY CA
91402-2483
US

IV. Provider business mailing address

6609 VAN NUYS BLVD STE 201-A
VAN NUYS CA
91405-4618
US

V. Phone/Fax

Practice location:
  • Phone: 818-479-7182
  • Fax:
Mailing address:
  • Phone: 818-812-5410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA37095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: