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General NPI Number Information
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NPI Number | 1104013697
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Entity Type | Organization
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Legal Business Name | SANJAY M. VASWANI, MD., INC
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 1601 DOVE ST STE 230
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2433
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Country | US
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Telephone | 949-200-7103
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Fax | 866-878-4621
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Provider Business Mailing Address
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Address Line | 1601 DOVE ST SUITE 230
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2433
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Country | US
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Telephone | 949-200-7103
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Fax | 866-878-4621
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANJAY MANIKLAL VASWANI
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Credential | MD
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Telephone | 949-302-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A75912
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License Number State | CA
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