Healthcare Provider Details

I. General information

NPI: 1851092662
Provider Name (Legal Business Name): SRUTHI SEKARAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

1616 N CENTRAL AVE APT 1436
PHOENIX AZ
85004-1661
US

V. Phone/Fax

Practice location:
  • Phone: 602-521-3400
  • Fax:
Mailing address:
  • Phone: 215-594-6272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberR81523
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberR81523
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: