Healthcare Provider Details

I. General information

NPI: 1588672380
Provider Name (Legal Business Name): VINITA SEHGAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST 12TH FLR
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL BOX 1104
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-987-3100
  • Fax: 212-731-5220
Mailing address:
  • Phone: 212-987-3100
  • Fax: 212-731-5220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number191563
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number191563
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: