Basic Information
| Provider Information | |||||||||
| NPI: | 1104868082 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SARANGLAO | ||||||||
| FirstName: | ALEJANDRO | ||||||||
| MiddleName: | |||||||||
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| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 248 PLEASANT STREET | ||||||||
| Address2: | SUITE G100 | ||||||||
| City: | CONCORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033012526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032249661 | ||||||||
| FaxNumber: | 6032287051 | ||||||||
| Practice Location | |||||||||
| Address1: | 248 PLEASANT ST | ||||||||
| Address2: | SUITE G100 | ||||||||
| City: | CONCORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033012588 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032249661 | ||||||||
| FaxNumber: | 6032287051 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 03/25/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 12176 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 12176 | NH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | AA16415 | 01 | NH | HARVARD PILGRIM | OTHER | 30204448 | 05 | NH | MEDICAID | P00169515 | 01 | NH | RAIL ROAD MEDICARE | OTHER | 386552 | 01 | NH | MVP HEALTH CARE (INT. MED | OTHER | 386553 | 01 | NH | MVP HEALTH CARE (CRITICAL | OTHER | 386554 | 01 | NH | MVP HEALTH CARE (PULM CAR | OTHER | 1104868082 | 01 | NH | ANTHEM BLUE CROSS | OTHER | 7794663 | 01 | NH | AETNA | OTHER | 414210099 | 05 | ME | MEDICAID |