Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 16543 | MD |
NPI | 1013144351 |
---|---|
Provider Name | Surbhi Sehgal |
First Address | Olney, MD 20832-1485 |
Second Address | Olney, MD 20832-1485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2009 |
Last Update Date | 17/03/2018 |