MEDICARE: DR. BINDU NAILESH SANGANI MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	L9466	TX
2	207R00000X	Internal Medicine Physician	35-07-8474	OH
3	208M00000X	Hospitalist Physician	35-078474	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811905474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BINDU NAILESH SANGANI MD, MPH

Provider Business Mailing Address
First Line	:	6780 MAYFIELD RD STE 400
Second Line	:
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-2203
Country	:	US
Telephone Number	:	440-312-6017
Fax Number	:	440-312-2080

Provider Business Practice Location Address
First Line	:	6780 MAYFIELD RD
Second Line	:
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-2203
Country	:	US
Telephone Number	:	440-312-6017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/21/2022

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