Provider Demographics
NPI:1477670180
Name:SEHGAL, DEE KULDIP (DOCTOR OF AUDIOLOGY)
Entity Type:Individual
Prefix:DR
First Name:DEE
Middle Name:KULDIP
Last Name:SEHGAL
Suffix:
Gender:M
Credentials:DOCTOR OF AUDIOLOGY
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Mailing Address - Street 1:2900 UNION LAKE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3500
Mailing Address - Country:US
Mailing Address - Phone:248-360-4327
Mailing Address - Fax:248-360-5377
Practice Address - Street 1:2900 UNION LAKE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-3500
Practice Address - Country:US
Practice Address - Phone:248-360-4327
Practice Address - Fax:248-360-5377
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI1601000248231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI904625207Medicaid
MI54OF323180OtherBLUE CARE NETWORK
MI540F323180OtherBCBS OF MI HEARING AID
MI0N79440Medicare PIN