Healthcare Provider Details

I. General information

NPI: 1679683692
Provider Name (Legal Business Name): MONICA HARVANT SAINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 HOSPITAL DR SANTA FE IMAGING
SANTA FE NM
87505
US

IV. Provider business mailing address

1465 DIOLINDA RD
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 608-770-1424
  • Fax:
Mailing address:
  • Phone: 608-770-1424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD20060587
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number48730020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: