Healthcare Provider Details

I. General information

NPI: 1215596853
Provider Name (Legal Business Name): SONAL SEHGAL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 06/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46307 KLAMATH ST
FREMONT CA
94539-6908
US

IV. Provider business mailing address

46307 KLAMATH ST
FREMONT CA
94539-6908
US

V. Phone/Fax

Practice location:
  • Phone: 773-733-0465
  • Fax:
Mailing address:
  • Phone: 773-733-0465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH74147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: