Provider Demographics
NPI:1962580019
Name:SEKHON, SWARNPAL S (MD)
Entity type:Individual
Prefix:
First Name:SWARNPAL
Middle Name:S
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 1:1275 E SPRUCE AVE
Mailing Address - Street 2:STE. 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3372
Mailing Address - Country:US
Mailing Address - Phone:559-439-5757
Mailing Address - Fax:559-248-9585
Practice Address - Street 1:1275 E SPRUCE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3372
Practice Address - Country:US
Practice Address - Phone:559-439-5757
Practice Address - Fax:559-248-9585
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79525207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A795250Medicaid
00A795250Medicare ID - Type Unspecified
H68315Medicare UPIN