Healthcare Provider Details

I. General information

NPI: 1356665848
Provider Name (Legal Business Name): MR. DEV MARTIN SEHGAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 03/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 S MONACO PKWY
DENVER CO
80222-5812
US

IV. Provider business mailing address

2150 S MONACO PKWY
DENVER CO
80222-5812
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-3520
  • Fax: 303-512-0652
Mailing address:
  • Phone: 303-758-3520
  • Fax: 303-512-0652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14676
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: