Individual
DR. KIRTI PRAKASH SANGHVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2111 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1785
(248) 451-1092
(248) 451-1096
Mailing address
2111 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1785
(248) 451-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F37550
BCBSM
MI
Enumeration date
04/25/2007
Last updated
06/08/2021
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