Healthcare Provider Details

I. General information

NPI: 1639166515
Provider Name (Legal Business Name): RANJIV REGGIE SEHGAL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: REGGIE R SEHGAL D.C.

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 E BIG BEAVER RD STE 300
TROY MI
48083-2372
US

IV. Provider business mailing address

2095 E BIG BEAVER RD STE 300
TROY MI
48083-2372
US

V. Phone/Fax

Practice location:
  • Phone: 248-729-7004
  • Fax:
Mailing address:
  • Phone: 248-729-7004
  • Fax: 248-729-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008204
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: