Healthcare Provider Details

I. General information

NPI: 1184870891
Provider Name (Legal Business Name): YOGESH KIRANRAJ SANGHVI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 LAKEWOOD RANCH BLVD STE 101
LAKEWOOD RANCH FL
34202-5183
US

IV. Provider business mailing address

14134 NEPHRON LN
HUDSON FL
34667-8554
US

V. Phone/Fax

Practice location:
  • Phone: 941-744-0024
  • Fax: 941-746-1048
Mailing address:
  • Phone: 727-863-5418
  • Fax: 727-497-6784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39628
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number39628
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME141506
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: