Healthcare Provider Details

I. General information

NPI: 1578184081
Provider Name (Legal Business Name): GAURAV SEKHON M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NASSAU UNIVERSITY MEDICAL CENTER, DEPARTMENT OF PSYCHIA 2201 HEMPSTEAD TURNPIKE
EAST MEADOW NY
11554-1854
US

IV. Provider business mailing address

NASSAU UNIVERSITY MEDICAL CENTER, DEPARTMENT OF PSYCHIA 2201 HEMPSTEAD TURNPIKE
EAST MEADOW NY
11554-1854
US

V. Phone/Fax

Practice location:
  • Phone: 646-283-0120
  • Fax:
Mailing address:
  • Phone: 646-283-0120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: