Individual
DR. MANJEERI SANGVAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44083
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803613A
—
GA
05
—
00803613B
—
GA
01
—
5986102
AETNA PROV ID
GA
01
—
728224
BCBS PIN NUMBER
GA
Enumeration date
12/14/2006
Last updated
06/30/2014
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