Provider Demographics
NPI:1225000607
Name:LEGHA, SEWA S (MD)
Entity Type:Individual
Prefix:
First Name:SEWA
Middle Name:S
Last Name:LEGHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SEWA
Other - Middle Name:SINGH
Other - Last Name:LEGHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD FACP
Mailing Address - Street 1:6624 FANNIN
Mailing Address - Street 2:STE 1440
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-797-9711
Mailing Address - Fax:713-797-1295
Practice Address - Street 1:6624 FANNIN
Practice Address - Street 2:STE 1440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-797-9711
Practice Address - Fax:713-797-1295
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9280207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C18290Medicare UPIN
00286MMedicare ID - Type Unspecified