Provider Demographics
NPI:1932336930
Name:SEKHON, GUNDEEP (MBBS, MD)
Entity Type:Individual
Prefix:
First Name:GUNDEEP
Middle Name:
Last Name:SEKHON
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 QUARRY ROAD
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5717
Mailing Address - Country:US
Mailing Address - Phone:605-723-6948
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR RM HC 435
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:605-723-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1225632084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry