Provider Demographics
NPI:1053513614
Name:SANGHVI, RAJBIR (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJBIR
Middle Name:
Last Name:SANGHVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 ARCH ST APT 903
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-2779
Mailing Address - Country:US
Mailing Address - Phone:310-701-2911
Mailing Address - Fax:
Practice Address - Street 1:1835 ARCH ST APT 903
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-2779
Practice Address - Country:US
Practice Address - Phone:310-701-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0377551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry