Provider Demographics
NPI:1962761247
Name:CHANDRA, SEKHAR N (MD)
Entity type:Individual
Prefix:
First Name:SEKHAR
Middle Name:N
Last Name:CHANDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6640 PAGE BLVD
Mailing Address - Street 2:UNIT 302
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220
Mailing Address - Country:US
Mailing Address - Phone:317-466-1357
Mailing Address - Fax:317-466-1357
Practice Address - Street 1:6640 PAGE BLVD
Practice Address - Street 2:UNIT 302
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220
Practice Address - Country:US
Practice Address - Phone:317-466-1357
Practice Address - Fax:317-466-1357
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01028858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine