Healthcare Provider Details

I. General information

NPI: 1477670180
Provider Name (Legal Business Name): DEE KULDIP SEHGAL DOCTOR OF AUDIOLOGY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 UNION LAKE RD SUITE 130
COMMERCE TOWNSHIP MI
48382-3500
US

IV. Provider business mailing address

2900 UNION LAKE RD SUITE 130
COMMERCE TOWNSHIP MI
48382-3500
US

V. Phone/Fax

Practice location:
  • Phone: 248-360-4327
  • Fax: 248-360-5377
Mailing address:
  • Phone: 248-360-4327
  • Fax: 248-360-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000248
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: