Provider Demographics
NPI:1891039871
Name:SEKHON, BIKRAM SINGH
Entity Type:Individual
Prefix:
First Name:BIKRAM
Middle Name:SINGH
Last Name:SEKHON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7441 EDINGER AVE UNIT 301
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7857
Mailing Address - Country:US
Mailing Address - Phone:347-502-5452
Mailing Address - Fax:
Practice Address - Street 1:3300 E SOUTH ST STE 308
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90805-4598
Practice Address - Country:US
Practice Address - Phone:562-630-3111
Practice Address - Fax:562-630-3107
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA133956207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty