MEDICARE: DR. SEKAI CHIDEYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A82769	CA
2	207Q00000X	Family Medicine Physician	D0097379	MD
3	207Q00000X	Family Medicine Physician	242932-1	NY

General Provider Information

NPI Number	:	1174816409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEKAI CHIDEYA MD

Provider Business Mailing Address
First Line	:	4801 DORSEY HALL DR STE 201
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-997-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 DORSEY HALL DR STE 201
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-997-5191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	03/13/2026

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Directions to “ DR. SEKAI CHIDEYA MD” Practice Location

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