Provider Demographics
NPI:1164720082
Name:SUDHIR SEHGAL MD PLLC
Entity Type:Organization
Organization Name:SUDHIR SEHGAL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-293-4600
Mailing Address - Street 1:2721 SILVERSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-6721
Mailing Address - Country:US
Mailing Address - Phone:936-293-4600
Mailing Address - Fax:936-293-4610
Practice Address - Street 1:116 MEDICAL PARK LN
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4978
Practice Address - Country:US
Practice Address - Phone:936-293-4600
Practice Address - Fax:936-293-4610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty