Provider Demographics
NPI:1588633218
Name:SEKHON, ANANDREET KAUR (MD)
Entity Type:Individual
Prefix:
First Name:ANANDREET
Middle Name:KAUR
Last Name:SEKHON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N KANSAS ST
Mailing Address - Street 2:STE. 1501
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1443
Mailing Address - Country:US
Mailing Address - Phone:915-546-9200
Mailing Address - Fax:915-546-9800
Practice Address - Street 1:221 N KANSAS ST
Practice Address - Street 2:STE. 1501
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1443
Practice Address - Country:US
Practice Address - Phone:915-546-9200
Practice Address - Fax:915-546-9800
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2353331208M00000X
TXM2086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DZ249OtherBC/BS OF TEXAS
NM86104781Medicaid
NY02664900Medicaid
TX1859225-04Medicaid
TXP01249706OtherRAILROAD RETIREMENT MEDICARE
TX259993YSXZMedicare PIN
TX1859225-04Medicaid
RA7491Medicare ID - Type Unspecified