Healthcare Provider Details

I. General information

NPI: 1053334318
Provider Name (Legal Business Name): DAVINDER SINGH SEKHON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4724 NORTH DAVIS HWY
PENSACOLA FL
32503-2339
US

IV. Provider business mailing address

4724 NORTH DAVIS HWY
PENSACOLA FL
32503-2339
US

V. Phone/Fax

Practice location:
  • Phone: 850-696-4000
  • Fax: 850-444-7057
Mailing address:
  • Phone: 850-696-4000
  • Fax: 850-444-7057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME 95815
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME95815
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: