Healthcare Provider Details

I. General information

NPI: 1003019571
Provider Name (Legal Business Name): RAJESH SEHGAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GLENWOOD DR
WINTER PARK FL
32792-3308
US

IV. Provider business mailing address

2100 GLENWOOD DR
WINTER PARK FL
32792-3308
US

V. Phone/Fax

Practice location:
  • Phone: 407-821-3566
  • Fax:
Mailing address:
  • Phone: 407-821-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME155083
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number23530
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD432738
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: