Basic Information
Provider Information
NPI: 1891039871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEKHON
FirstName: BIKRAM
MiddleName: SINGH
NamePrefix:  
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Credential:  
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Mailing Information
Address1: 7441 EDINGER AVE UNIT 301
Address2:  
City: HUNTINGTON BEACH
State: CA
PostalCode: 926477857
CountryCode: US
TelephoneNumber: 3475025452
FaxNumber:  
Practice Location
Address1: 3300 E SOUTH ST STE 308
Address2:  
City: LAKEWOOD
State: CA
PostalCode: 908054598
CountryCode: US
TelephoneNumber: 5626303111
FaxNumber: 5626303107
Other Information
ProviderEnumerationDate: 11/15/2012
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RN0300XA133956CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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