Provider Demographics
NPI:1730271578
Name:SEKHON, HARBIR SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARBIR
Middle Name:SINGH
Last Name:SEKHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-1962
Mailing Address - Country:US
Mailing Address - Phone:727-480-2502
Mailing Address - Fax:727-786-7968
Practice Address - Street 1:5275 ENCLAVE DR
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-1962
Practice Address - Country:US
Practice Address - Phone:727-786-7968
Practice Address - Fax:727-786-7758
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME518972084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL3118OtherPHYSICIAN LICENSE
FLME51897OtherPHYSICIAN LICENSE
FLME51897OtherPHYSICIAN LICENSE
04929Medicare ID - Type Unspecified