Healthcare Provider Details

I. General information

NPI: 1124203153
Provider Name (Legal Business Name): ANIL SEKHAR M.D.,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SE 1ST ST
BELLE GLADE FL
33430-4353
US

IV. Provider business mailing address

941 SE 1ST ST
BELLE GLADE FL
33430-4353
US

V. Phone/Fax

Practice location:
  • Phone: 312-730-5630
  • Fax:
Mailing address:
  • Phone: 312-730-5630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME 100135
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: