Provider Demographics
NPI:1437311057
Name:SEHGAL, INDU BALA (MD)
Entity type:Individual
Prefix:DR
First Name:INDU
Middle Name:BALA
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 1:2469 MONTROSE AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1481
Mailing Address - Country:US
Mailing Address - Phone:818-434-7996
Mailing Address - Fax:
Practice Address - Street 1:2469 MONTROSE AVE UNIT C
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1481
Practice Address - Country:US
Practice Address - Phone:818-434-7996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93864207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology