Provider Demographics
NPI:1821494683
Name:SEHGAL, AJAY
Entity Type:Individual
Prefix:
First Name:AJAY
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 KIRKWAY RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1321
Mailing Address - Country:US
Mailing Address - Phone:248-470-4270
Mailing Address - Fax:586-991-0105
Practice Address - Street 1:4500 DOBRY DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1222
Practice Address - Country:US
Practice Address - Phone:586-843-3625
Practice Address - Fax:586-995-0105
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI170300000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No170300000XOther Service ProvidersGenetic Counselor, MS