Provider Demographics
NPI:1316362015
Name:SUNANDHA SEKAR,M.D., P.A.
Entity type:Organization
Organization Name:SUNANDHA SEKAR,M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNANDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-853-9655
Mailing Address - Street 1:12475 SW 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7600 S RED RD
Practice Address - Street 2:SUITE 215
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5408
Practice Address - Country:US
Practice Address - Phone:786-853-9655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL005822700Medicaid