Provider Demographics
NPI:1215596853
Name:SEHGAL, SONAL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SONAL
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46307 KLAMATH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6908
Mailing Address - Country:US
Mailing Address - Phone:773-733-0465
Mailing Address - Fax:
Practice Address - Street 1:46307 KLAMATH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-6908
Practice Address - Country:US
Practice Address - Phone:773-733-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH74147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty