Healthcare Provider Details

I. General information

NPI: 1962501205
Provider Name (Legal Business Name): METROPOLITAN FOOT CARE SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25135 W WARREN
DEARBORN HEIGHTS MI
48127-2146
US

IV. Provider business mailing address

PO BOX 337 METROPOLITAN FOOT CARE SERVICES PC
HARTLAND MI
48353
US

V. Phone/Fax

Practice location:
  • Phone: 313-565-2111
  • Fax: 313-565-0944
Mailing address:
  • Phone: 313-565-2111
  • Fax: 313-565-0944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901001763
License Number StateMI

VIII. Authorized Official

Name: DR. RAJEEV SEHGAL
Title or Position: PRESIDENT
Credential: DPM
Phone: 313-565-2111