Provider Demographics
NPI:1376021683
Name:SEHMBEY, GAGANDEEP (PA-C)
Entity type:Individual
Prefix:
First Name:GAGANDEEP
Middle Name:
Last Name:SEHMBEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:
Other - Last Name:DHALIWAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:9828 LOIS STILTNER CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4637
Mailing Address - Country:US
Mailing Address - Phone:916-517-0181
Mailing Address - Fax:
Practice Address - Street 1:3803 S BASCOM AVE STE 100
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-7317
Practice Address - Country:US
Practice Address - Phone:408-559-7177
Practice Address - Fax:408-559-7199
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55759363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant