Healthcare Provider Details
I. General information
NPI: 1801003926
Provider Name (Legal Business Name): HARJOT S SEKHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2007
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 E BIDWELL ST
FOLSOM CA
95630-6453
US
IV. Provider business mailing address
2150 E BIDWELL ST
FOLSOM CA
95630-6453
US
V. Phone/Fax
- Phone: 916-473-2235
- Fax: 844-722-9257
- Phone: 916-473-2235
- Fax: 844-722-9257
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | A106323 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: