Individual
DR. SANTOSH VAGHELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 WEST AVE STE 101, SARATOGA SPRINGS, NY 12866-6052
(518) 693-4635
(518) 682-3001
Mailing address
PO BOX 412655, BOSTON, MA 02241-2655
(518) 693-4635
(518) 682-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61373
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
61373
CT
207RP1001X
Pulmonary Disease Physician
Primary
308203
NY
207RP1001X
Pulmonary Disease Physician
61373
CT
208M00000X
Hospitalist Physician
61373
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05416688
—
NY
Enumeration date
05/12/2014
Last updated
07/14/2021
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