Provider Demographics
NPI:1861789992
Name:DANGARIA, HARSH TRIKAMBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:HARSH
Middle Name:TRIKAMBHAI
Last Name:DANGARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 DAN PROCTOR DR STE 3300
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-3894
Mailing Address - Country:US
Mailing Address - Phone:912-324-4080
Mailing Address - Fax:912-324-4097
Practice Address - Street 1:2060 DAN PROCTOR DR STE 3300
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3894
Practice Address - Country:US
Practice Address - Phone:912-324-4080
Practice Address - Fax:912-324-4097
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA072551208100000X, 2081P2900X, 2083A0300X, 208VP0000X, 208VP0014X
FLME127695208100000X, 2081P2900X, 2083A0300X, 208VP0014X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003148565BMedicaid
GA003148565DMedicaid
FLIY993XOtherMEDICARE
GA003148565AMedicaid
KY7100319260Medicaid
GA003148565CMedicaid
GA003148565EMedicaid
GA003148565FMedicaid
GA003148565CMedicaid
GA003148565EMedicaid