Healthcare Provider Details

I. General information

NPI: 1093900706
Provider Name (Legal Business Name): HARSHAD V. SANGHVI, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SOUTH ST SUITE 7
WARE MA
01082-1625
US

IV. Provider business mailing address

PO BOX 758
WARE MA
01082-0758
US

V. Phone/Fax

Practice location:
  • Phone: 413-967-9974
  • Fax: 413-967-9975
Mailing address:
  • Phone: 413-967-9974
  • Fax: 413-967-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number50530
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number50530
License Number StateMA

VIII. Authorized Official

Name: DR. HARSHAD V. SANGHVI
Title or Position: OWNER
Credential: MD
Phone: 413-967-9974