Healthcare Provider Details

I. General information

NPI: 1487652251
Provider Name (Legal Business Name): VIKRAM SINGH SIKAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 06/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WILLOW AVE
HOBOKEN NJ
07030-3808
US

IV. Provider business mailing address

308 WILLOW AVENUE
WEEHAWKEN NJ
07030
US

V. Phone/Fax

Practice location:
  • Phone: 201-418-2065
  • Fax:
Mailing address:
  • Phone: 201-418-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA07226100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: