Healthcare Provider Details

I. General information

NPI: 1962580019
Provider Name (Legal Business Name): SWARNPAL S. SEKHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 06/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 E SPRUCE AVE SUITE 101
FRESNO CA
93720-3372
US

IV. Provider business mailing address

1275 E SPRUCE AVE STE. 101
FRESNO CA
93720-3372
US

V. Phone/Fax

Practice location:
  • Phone: 559-439-5757
  • Fax: 559-248-9585
Mailing address:
  • Phone: 559-439-5757
  • Fax: 559-248-9585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA79525
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA79525
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: