Basic Information
Provider Information
NPI: 1225257975
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEKHON
FirstName: ARDEEP
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10470 OLD PLACERVILLE RD
Address2: SUITE 100
City: SACRAMENTO
State: CA
PostalCode: 958272539
CountryCode: US
TelephoneNumber: 8004700071
FaxNumber:  
Practice Location
Address1: 2800 L ST
Address2: SUITE 500
City: SACRAMENTO
State: CA
PostalCode: 958165616
CountryCode: US
TelephoneNumber: 9164546850
FaxNumber: 9164546852
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 07/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XA92312CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0600XA92312CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology

No ID Information.


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