Healthcare Provider Details

I. General information

NPI: 1992778732
Provider Name (Legal Business Name): SEEMA C SANGHAVI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

IV. Provider business mailing address

2501 OREGON PIKE SUITE 101
LANCASTER PA
17601-4890
US

V. Phone/Fax

Practice location:
  • Phone: 203-797-7532
  • Fax: 203-743-2610
Mailing address:
  • Phone: 717-293-3223
  • Fax: 717-390-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number041489
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: