Provider Demographics
NPI:1134198575
Name:SEKONS, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SEKONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 BARTONS BLUFF LN
Mailing Address - Street 2:#713
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7948
Mailing Address - Country:US
Mailing Address - Phone:646-232-3440
Mailing Address - Fax:
Practice Address - Street 1:2800 BARTONS BLUFF LN
Practice Address - Street 2:#713
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7948
Practice Address - Country:US
Practice Address - Phone:646-232-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140144208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20262Medicare UPIN
NY94A641Medicare ID - Type Unspecified