NPIViewer - Provider NPI 1609946201

NPI:	1609946201
Name:	SANGHADIA, PAURAVI HARKISANDAS (MD)
Entity type:	Individual
Prefix:
First Name:	PAURAVI
Middle Name:	HARKISANDAS
Last Name:	SANGHADIA
Suffix:
Gender:	F
Credentials:	MD
Other - Prefix:
Other - First Name:	PAURAVI
Other - Middle Name:	NIRAJ
Other - Last Name:	SANGHADIA-BHATT
Other - Suffix:
Other - Last Name Type:	Former Name
Other - Credentials:	MD
Mailing Address - Street 1:	5028 HICKORY MEADOWS PL
Mailing Address - Street 2:
Mailing Address - City:	GLEN ALLEN
Mailing Address - State:	VA
Mailing Address - Zip Code:	23059-2653
Mailing Address - Country:	US
Mailing Address - Phone:	804-514-6958
Mailing Address - Fax:
Practice Address - Street 1:	2400 S AVENUE A
Practice Address - Street 2:
Practice Address - City:	YUMA
Practice Address - State:	AZ
Practice Address - Zip Code:	85364-7170
Practice Address - Country:	US
Practice Address - Phone:	928-336-7321
Practice Address - Fax:
Is Sole Proprietor?:	No
Enumeration Date:	2006-11-09
Last Update Date:	2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist

State	Identifier ID	ID Type	Issuer
	1063433720	Other	CLINIC NPI
AZ	199969	Medicaid
	1043324932	Other	CLINIC NPI
	1245344316	Other	CLINIC NPI
	1962507376	Other	CLINIC NPI
	031805	Medicare Oscar/Certification
	I72304	Medicare UPIN
AZ	Z21130	Medicare PIN
AZ	Z114627	Medicare PIN
	1962507376	Other	CLINIC NPI
	031823	Medicare Oscar/Certification
AZ	Z114628	Medicare PIN
	031822	Medicare Oscar/Certification
AZ	Z114629	Medicare PIN
	1063433720	Other	CLINIC NPI
	1245344316	Other	CLINIC NPI
AZ	199969	Medicaid