Healthcare Provider Details

I. General information

NPI: 1124776612
Provider Name (Legal Business Name): BHAKTI SANGHANI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MEDICAL WAY
SNELLVILLE GA
30078-2195
US

IV. Provider business mailing address

1520 BELMONT HILLS DR
SUWANEE GA
30024-2036
US

V. Phone/Fax

Practice location:
  • Phone: 770-979-0200
  • Fax:
Mailing address:
  • Phone: 678-787-6314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number111036
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: