Provider Demographics
NPI:1184723413
Name:SEHGAL, RAJEEV (DPM)
Entity type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 SEQUOYAH CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-3467
Mailing Address - Country:US
Mailing Address - Phone:248-762-2427
Mailing Address - Fax:
Practice Address - Street 1:8631 SEQUOYAH CT
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-3467
Practice Address - Country:US
Practice Address - Phone:248-762-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRS001763213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4297788Medicaid
MI5635167OtherBLUE CROSS
MI4387268Medicaid
MI4142579Medicaid