Provider Demographics
NPI:1669283768
Name:SEHAT MEDICAL GROUP
Entity type:Organization
Organization Name:SEHAT MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEENAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHTIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-847-9700
Mailing Address - Street 1:2904 LAS GALLINAS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-1417
Mailing Address - Country:US
Mailing Address - Phone:415-847-9700
Mailing Address - Fax:
Practice Address - Street 1:2904 LAS GALLINAS AVE
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1417
Practice Address - Country:US
Practice Address - Phone:415-847-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty