Healthcare Provider Details

I. General information

NPI: 1326061722
Provider Name (Legal Business Name): HEERA SEKHAWAT ARDMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 NEBORLEA WAY
COLLEGEVILLE PA
19426-2139
US

IV. Provider business mailing address

355 NEBORLEA WAY
COLLEGEVILLE PA
19426-2139
US

V. Phone/Fax

Practice location:
  • Phone: 610-420-9224
  • Fax:
Mailing address:
  • Phone: 267-593-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number28657
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: