Healthcare Provider Details

I. General information

NPI: 1184723413
Provider Name (Legal Business Name): RAJEEV SEHGAL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 SEQUOYAH CT
CLARKSTON MI
48348-3467
US

IV. Provider business mailing address

8631 SEQUOYAH CT
CLARKSTON MI
48348-3467
US

V. Phone/Fax

Practice location:
  • Phone: 248-762-2427
  • Fax:
Mailing address:
  • Phone: 248-762-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberRS001763
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: