Healthcare Provider Details

I. General information

NPI: 1730271578
Provider Name (Legal Business Name): HARBIR SINGH SEKHON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 ENCLAVE DR
OLDSMAR FL
34677-1962
US

IV. Provider business mailing address

5275 ENCLAVE DR
OLDSMAR FL
34677-1962
US

V. Phone/Fax

Practice location:
  • Phone: 727-786-7968
  • Fax: 727-786-7758
Mailing address:
  • Phone: 727-480-2502
  • Fax: 727-786-7968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME51897
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME51897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: