Healthcare Provider Details

I. General information

NPI: 1922484807
Provider Name (Legal Business Name): GURKIRPAL SINGH SEHGAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2015
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 ELEANOR DR
WOODSIDE CA
94062-1113
US

IV. Provider business mailing address

175 ELEANOR DR
WOODSIDE CA
94062-1113
US

V. Phone/Fax

Practice location:
  • Phone: 650-780-0200
  • Fax:
Mailing address:
  • Phone: 650-780-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number66244
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number66244
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: