Provider Demographics
NPI:1467610923
Name:SWARNPAL S. SEKHON MD
Entity Type:Organization
Organization Name:SWARNPAL S. SEKHON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWARNPAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEKHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-875-5545
Mailing Address - Street 1:800 N ST
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-3116
Mailing Address - Country:US
Mailing Address - Phone:559-875-5545
Mailing Address - Fax:
Practice Address - Street 1:800 N ST
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-3116
Practice Address - Country:US
Practice Address - Phone:559-875-5545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79525207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A795250Medicare PIN
CAH68315Medicare UPIN