Provider Demographics
NPI:1548293145
Name:SEHDEVA, PARKASH K (MD)
Entity type:Individual
Prefix:
First Name:PARKASH
Middle Name:K
Last Name:SEHDEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PARKASH
Other - Middle Name:K
Other - Last Name:SEHDEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7300 RINDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-8063
Mailing Address - Country:US
Mailing Address - Phone:310-306-3306
Mailing Address - Fax:310-827-0161
Practice Address - Street 1:12321 HAWTHORNE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3808
Practice Address - Country:US
Practice Address - Phone:310-263-1400
Practice Address - Fax:310-263-1418
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36163207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA912004633OtherFEDERAL TAX I.D. NUMBER
CA912004633OtherFEDERAL TAX I.D. NUMBER
CA912004633OtherFEDERAL TAX I.D. NUMBER