Segall, Mark Melvyn
Segall, Mark Melvyn is an individual health care provider with primary practice located at 15195 National Ave Ste. #202, Los Gatos CA 95032-2631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Segall, Mark Melvyn can be contacted via phone (408) 358-3500.Contact Information
Primary practice address
15195 National Ave Ste. #202
Los Gatos CA 95032-2631
Phone: (408) 358-3500
Fax: (408) 358-3608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G024951 | California |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | G024951 | California |
Profile Details
| NPI number | 1437232451 |
|---|---|
| LBN Legal business name | Segall, Mark Melvyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437232451 | NPPES |
| California | MEDICAID | 0954018 |
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