Healthcare Provider Details
I. General information
NPI: 1265826200
Provider Name (Legal Business Name): SAHIL SEKHON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/27/2015
Last Update Date: 11/24/2024
Certification Date: 11/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9707 MEDICAL CENTER DR
ROCKVILLE MD
20850-3348
US
IV. Provider business mailing address
11805 CENTURION WAY
POTOMAC MD
20854-6419
US
V. Phone/Fax
- Phone: 301-202-4707
- Fax:
- Phone: 301-202-4707
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | D0095992 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: