Healthcare Provider Details

I. General information

NPI: 1588867147
Provider Name (Legal Business Name): RAJNEET KAUR SEKHON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 03/06/2024
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 E BIDWELL ST
FOLSOM CA
95630-6453
US

IV. Provider business mailing address

PO BOX 996
FAIR OAKS CA
95628-0996
US

V. Phone/Fax

Practice location:
  • Phone: 916-473-2235
  • Fax: 888-298-3764
Mailing address:
  • Phone: 916-241-3725
  • Fax: 888-298-3764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA109915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: