Healthcare Provider Details

I. General information

NPI: 1447710793
Provider Name (Legal Business Name): JOGEET SINGH SEKHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 FRANKLIN ST STE 1
WATERBURY CT
06706-1281
US

IV. Provider business mailing address

5 MAYRAND WAY
WINDSOR LOCKS CT
06096-1258
US

V. Phone/Fax

Practice location:
  • Phone: 203-709-6000
  • Fax:
Mailing address:
  • Phone: 860-978-5896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number70489
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.074248
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: