Healthcare Provider Details

I. General information

NPI: 1174816409
Provider Name (Legal Business Name): SEKAI CHIDEYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 DORSEY HALL DR STE 201
ELLICOTT CITY MD
21042-7749
US

IV. Provider business mailing address

4801 DORSEY HALL DR STE 201
ELLICOTT CITY MD
21042-7749
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-5191
  • Fax:
Mailing address:
  • Phone: 410-997-5191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA82769
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0097379
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number242932-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: