Provider Demographics
NPI:1699940429
Name:SANGHA, JASPREET (MD)
Entity type:Individual
Prefix:
First Name:JASPREET
Middle Name:
Last Name:SANGHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31140 HUNTLEY SQ W
Mailing Address - Street 2:APT# 413
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5363
Mailing Address - Country:US
Mailing Address - Phone:248-872-6659
Mailing Address - Fax:
Practice Address - Street 1:3990 JOHN R
Practice Address - Street 2:ANESTHESIOLOGY DEPTMT, BOX 162, ROOM 2901
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090072207LC0200X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No282N00000XHospitalsGeneral Acute Care Hospital