Provider Demographics
NPI:1104236835
Name:HARJOT S SEKHON MD, INC
Entity type:Organization
Organization Name:HARJOT S SEKHON MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-542-2642
Mailing Address - Street 1:193 BLUE RAVINE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4759
Mailing Address - Country:US
Mailing Address - Phone:916-473-2235
Mailing Address - Fax:916-987-9749
Practice Address - Street 1:193 BLUE RAVINE RD STE 220
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4759
Practice Address - Country:US
Practice Address - Phone:916-473-2235
Practice Address - Fax:916-987-9749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1063232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACM372ZMedicare PIN