Provider Demographics
NPI:1871512616
Name:SEHGAL, SAROJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1718
Mailing Address - Country:US
Mailing Address - Phone:973-761-4455
Mailing Address - Fax:973-789-8403
Practice Address - Street 1:1023 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1718
Practice Address - Country:US
Practice Address - Phone:973-761-4455
Practice Address - Fax:973-789-8403
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03480900207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0943401Medicaid
NJ0943401Medicaid
NJA98088Medicare UPIN