Provider Demographics
NPI:1073725776
Name:JATINDER S. SEKHON, MD, PC
Entity Type:Organization
Organization Name:JATINDER S. SEKHON, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DEPT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURELL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGLEZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-982-2441
Mailing Address - Street 1:11805 CENTURION WAY
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10110 MOLECULAR DR
Practice Address - Street 2:SUITE 109
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7538
Practice Address - Country:US
Practice Address - Phone:301-417-9528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051714174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD840821100Medicaid
MD2105409OtherALLIANCE ONE NET
MD72217OtherAMERIGROUP
MD840821101Medicaid
DC3318OtherCAREFIRST BCBS - DC
MD0S43JSOtherCAREFIRST BCBS - MD
MD840821101Medicaid