Provider Demographics
NPI:1649243262
Name:SEHGAL, NIRMALA (MD)
Entity Type:Individual
Prefix:
First Name:NIRMALA
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIMMIE
Other - Middle Name:
Other - Last Name:SEHGAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:800 COMPTON ROAD
Mailing Address - Street 2:STE. #5
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231
Mailing Address - Country:US
Mailing Address - Phone:513-521-6777
Mailing Address - Fax:513-521-9827
Practice Address - Street 1:800 COMPTON ROAD
Practice Address - Street 2:STE. #5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231
Practice Address - Country:US
Practice Address - Phone:513-521-6777
Practice Address - Fax:513-521-9827
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35049009S207Q00000X
OH49009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0612920Medicaid
OHH003601Medicare PIN
E10170Medicare UPIN
OHSE0580311Medicare PIN
OHE10170Medicare UPIN