Individual
DR. SHARMILA SEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01089665A
IN
207W00000X
Ophthalmology Physician
Primary
4301511473
MI
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
01089665A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010907
MEDICARE PTAN
IN
05
—
300077802
—
IN
Enumeration date
04/29/2019
Last updated
07/24/2024
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