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General NPI Number Information
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NPI Number | 1447516133
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Entity Type | Individual
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Provider Name | AMIT A SANGAVE MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4921 E BELL RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6002
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Country | US
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Telephone | 602-787-9100
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Fax | 602-787-9101
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Provider Business Mailing Address
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Address Line | 19052 N R H JOHNSON BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4401
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Country | US
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Telephone | 623-474-3937
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Fax | 623-975-7005
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301109274
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD464124
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 57747
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 57747
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License Number State | AZ
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