Healthcare Provider Details

I. General information

NPI: 1336526409
Provider Name (Legal Business Name): SEHATU INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 10/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 DOUGLAS BLVD SUITE 220
ROSEVILLE CA
95661-3851
US

IV. Provider business mailing address

3001 DOUGLAS BLVD SUITE 220
ROSEVILLE CA
95661-3851
US

V. Phone/Fax

Practice location:
  • Phone: 916-742-7718
  • Fax: 510-350-9190
Mailing address:
  • Phone: 916-742-7718
  • Fax: 510-350-9190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: AMER H KHAN
Title or Position: OWNER
Credential: MD
Phone: 916-742-7718