MEDICARE: AJAY SEHGAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)		MI
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1821494683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY SEHGAL

Provider Business Mailing Address
First Line	:	1530 KIRKWAY RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1321
Country	:	US
Telephone Number	:	248-470-4270
Fax Number	:	586-991-0105

Provider Business Practice Location Address
First Line	:	4500 DOBRY DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-1222
Country	:	US
Telephone Number	:	586-843-3625
Fax Number	:	586-995-0105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	08/16/2023

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Directions to “ AJAY SEHGAL ” Practice Location

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