Provider Demographics
NPI:1124173752
Name:SANGHVI, TANI (MD)
Entity type:Individual
Prefix:DR
First Name:TANI
Middle Name:
Last Name:SANGHVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 E 73RD ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3567
Mailing Address - Country:US
Mailing Address - Phone:212-288-8466
Mailing Address - Fax:212-288-1065
Practice Address - Street 1:51 E 73RD ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3567
Practice Address - Country:US
Practice Address - Phone:212-288-8466
Practice Address - Fax:212-288-1065
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG82050Medicare UPIN