Healthcare Provider Details

I. General information

NPI: 1396374294
Provider Name (Legal Business Name): MANMEET SINGH SEHDEV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22290 FOOTHILL BLVD STE 1
HAYWARD CA
94541-2731
US

IV. Provider business mailing address

22290 FOOTHILL BLVD STE 1
HAYWARD CA
94541-2731
US

V. Phone/Fax

Practice location:
  • Phone: 510-581-1446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA186703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: