Healthcare Provider Details

I. General information

NPI: 1578925251
Provider Name (Legal Business Name): DHEEPA SEKAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL DRIVE GRADY MEMORIAL HOSPITAL
ATLANTA GA
30303
US

IV. Provider business mailing address

49 JESSE HILL DRIVE EMORY FACULTY OFFICE BUILDING
ATLANTA GA
30303
US

V. Phone/Fax

Practice location:
  • Phone: 205-427-3397
  • Fax: 205-427-3397
Mailing address:
  • Phone: 412-692-4888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD470260
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number91409
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: