Healthcare Provider Details

I. General information

NPI: 1710089784
Provider Name (Legal Business Name): SHOBHA SEKHON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E ALMOND AVE
MADERA CA
93637-5603
US

IV. Provider business mailing address

820 E ALMOND AVE
MADERA CA
93637-5603
US

V. Phone/Fax

Practice location:
  • Phone: 559-674-8787
  • Fax: 559-674-3592
Mailing address:
  • Phone: 559-674-8787
  • Fax: 559-674-3592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA043774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: