Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Manoj Madhu Sangoram, DO

Individual provider Anesthesiology Physician · NPI 1093034803

Manoj Madhu Sangoram, DO is an Anesthesiology in Bronx, New York. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2006, 20 years ago. Practices with Coachella Valley Anesthesia a Professional Corporation, a 127-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
CA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (847) 971-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20A11181 (CA)

Record details

NPI number1093034803
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 19, 2010
Last updated in NPPESMay 19, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2006 (20 years in practice)
Group practice Coachella Valley Anesthesia A Professional Corporation — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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