Healthcare Provider Details

I. General information

NPI: 1205947140
Provider Name (Legal Business Name): HAGILANDESWARI SEKAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 FLORIN RD STE 10
SACRAMENTO CA
95822-4200
US

IV. Provider business mailing address

800 S WELLS ST APT 832
CHICAGO IL
60607-4534
US

V. Phone/Fax

Practice location:
  • Phone: 916-422-7273
  • Fax: 916-422-2127
Mailing address:
  • Phone: 847-924-6426
  • Fax: 916-422-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA93523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: