Healthcare Provider Details

I. General information

NPI: 1477170280
Provider Name (Legal Business Name): JASMEET K SEKHON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 MECHANICSVILLE TPKE
RICHMOND VA
23223-1114
US

IV. Provider business mailing address

3806 MECHANICSVILLE TPKE
RICHMOND VA
23223-1114
US

V. Phone/Fax

Practice location:
  • Phone: 804-228-1143
  • Fax: 804-554-5386
Mailing address:
  • Phone: 804-228-1143
  • Fax: 804-554-5386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101278091
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: