Provider Demographics
NPI:1639166515
Name:SEHGAL, RANJIV REGGIE (DC)
Entity Type:Individual
Prefix:DR
First Name:RANJIV
Middle Name:REGGIE
Last Name:SEHGAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:REGGIE
Other - Middle Name:R
Other - Last Name:SEHGAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2095 E BIG BEAVER RD
Mailing Address - Street 2:STE 300
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2372
Mailing Address - Country:US
Mailing Address - Phone:248-729-7004
Mailing Address - Fax:248-729-7207
Practice Address - Street 1:2095 E BIG BEAVER RD
Practice Address - Street 2:STE 300
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2372
Practice Address - Country:US
Practice Address - Phone:248-729-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95-0-F3-2393-0OtherBC/BS
MI45359OtherAMERICAN WHOLE HEALTH NET
MI0P04060Medicare ID - Type UnspecifiedMEDICARE
MI95-0-F3-2393-0OtherBC/BS