Provider Demographics
NPI:1831846963
Name:THARWANI, SNEHA
Entity type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:THARWANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SNEHA
Other - Middle Name:
Other - Last Name:PANDYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 IVY CT
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-2208
Mailing Address - Country:US
Mailing Address - Phone:773-592-2147
Mailing Address - Fax:
Practice Address - Street 1:200 IVY CT
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-2208
Practice Address - Country:US
Practice Address - Phone:773-592-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program