Provider Demographics
NPI:1871577312
Name:JHATAKIA, SEJAL ASHOK (MD)
Entity type:Individual
Prefix:
First Name:SEJAL
Middle Name:ASHOK
Last Name:JHATAKIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6380 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3036
Mailing Address - Country:US
Mailing Address - Phone:925-875-1677
Mailing Address - Fax:925-875-0826
Practice Address - Street 1:13847 E 14TH ST
Practice Address - Street 2:#217
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2632
Practice Address - Country:US
Practice Address - Phone:510-483-2555
Practice Address - Fax:510-483-1856
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2021-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA88424207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine