Organization
CMAP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REEMA SANGHVI M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
8600 75TH ST STE 103, KENOSHA, WI 53142-8200
(262) 697-4304
(262) 925-8409
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43667
WI
Other
Enumeration date
04/16/2008
Last updated
08/03/2011
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