Provider Demographics
NPI:1386704955
Name:SANGHANI, SANAT VALJI (MD)
Entity type:Individual
Prefix:DR
First Name:SANAT
Middle Name:VALJI
Last Name:SANGHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX#30147, 211 FOURTH ST.
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8127
Mailing Address - Country:US
Mailing Address - Phone:318-473-8810
Mailing Address - Fax:
Practice Address - Street 1:605A MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8127
Practice Address - Country:US
Practice Address - Phone:318-449-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05824R2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1320943Medicaid
LA1320943Medicaid