Healthcare Provider Details

I. General information

NPI: 1922254036
Provider Name (Legal Business Name): MONIKA SANGHAVI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIKA ARORA MD

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-5127
US

IV. Provider business mailing address

3400 CIVIC CENTER BLVD 2 EAST
PHILADELPHIA PA
19104-3500
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-5064
  • Fax: 215-829-3081
Mailing address:
  • Phone: 215-829-5064
  • Fax: 215-829-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125054707
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP0290
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD462433
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: