Basic Information
| Provider Information | |||||||||
| NPI: | 1255509576 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANGHVI | ||||||||
| FirstName: | CHIRAG | ||||||||
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| Credential: | M.D., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 196 THOMAS JOHNSON DR | ||||||||
| Address2: | 215 | ||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217024397 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016689988 | ||||||||
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| Practice Location | |||||||||
| Address1: | 161 FORT EVANS RD NE | ||||||||
| Address2: | SUITE 340 | ||||||||
| City: | LEESBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201763369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7034438000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2008 | ||||||||
| LastUpdateDate: | 04/04/2017 | ||||||||
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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 | 207L00000X | A100606 | CA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD60193722 | WA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | 57.019241 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | D74728 | MD | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | 0101257227 | VA | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.