Healthcare Provider Details

I. General information

NPI: 1104038967
Provider Name (Legal Business Name): SEEMA SEHGAL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 MOWRY AVE SUITE 2-C
FREMONT CA
94538-1621
US

IV. Provider business mailing address

39141 CIVIC CENTER DR SUITE 220
FREMONT CA
94538-5818
US

V. Phone/Fax

Practice location:
  • Phone: 510-248-1820
  • Fax: 510-739-5725
Mailing address:
  • Phone: 510-248-1018
  • Fax: 510-608-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA54419
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: