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General NPI Number Information
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NPI Number | 1669283768
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Entity Type | Organization
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Legal Business Name | SEHAT MEDICAL GROUP
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 2904 LAS GALLINAS AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1417
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Country | US
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Telephone | 415-847-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 LAS GALLINAS AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1417
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Country | US
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Telephone | 415-847-9700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEENAL LOHTIA
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Credential | MD
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Telephone | 415-847-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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