Healthcare Provider Details

I. General information

NPI: 1033128327
Provider Name (Legal Business Name): SAVITHA SEHGAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 MEDICAL DR SUITE 3100
SAN ANTONIO TX
78229-5640
US

IV. Provider business mailing address

4242 MEDICAL DR SUITE 3100
SAN ANTONIO TX
78229-5640
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-1187
  • Fax: 210-614-2180
Mailing address:
  • Phone: 210-615-1187
  • Fax: 210-614-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberL9895
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL9895
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: