Healthcare Provider Details

I. General information

NPI: 1639115405
Provider Name (Legal Business Name): ROHIT SEHGAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 MOWRY AVE
FREMONT CA
94536-4115
US

IV. Provider business mailing address

734 MOWRY AVE
FREMONT CA
94536-4115
US

V. Phone/Fax

Practice location:
  • Phone: 510-793-3033
  • Fax: 510-793-4952
Mailing address:
  • Phone: 510-248-1670
  • Fax: 510-509-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA44320
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA44320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: