MEDICARE: BANITA B. SEHGAL D.O.

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	207P00000X	Emergency Medicine Physician	20A7649	CA
2	207R00000X	Internal Medicine Physician	20A7649	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942212527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BANITA B. SEHGAL D.O.

Provider Business Mailing Address
First Line	:	300 FIR STREET
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2703
Country	:	US
Telephone Number	:	858-499-2703
Fax Number	:	619-446-1569

Provider Business Practice Location Address
First Line	:	300 FIR STREET
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2703
Country	:	US
Telephone Number	:	858-499-2703
Fax Number	:	619-446-1569

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	11/10/2025

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