Healthcare Provider Details

I. General information

NPI: 1952097974
Provider Name (Legal Business Name): SUJATHA SEKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 04/13/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 WEST MARKHAM, SLOT 530
LIITE ROCK AR
72205
US

IV. Provider business mailing address

521 JACK STEPHENS DR
LITTLE ROCK AR
72205-5524
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-8820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: