Provider Demographics
NPI:1326061722
Name:SEKHAWAT, HEERA (ARDMS)
Entity Type:Individual
Prefix:MRS
First Name:HEERA
Middle Name:
Last Name:SEKHAWAT
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 NEBORLEA WAY
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2139
Mailing Address - Country:US
Mailing Address - Phone:267-593-0446
Mailing Address - Fax:
Practice Address - Street 1:355 NEBORLEA WAY
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2139
Practice Address - Country:US
Practice Address - Phone:610-420-9224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA286572471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography