Healthcare Provider Details

I. General information

NPI: 1720212582
Provider Name (Legal Business Name): AARTI KAMALA SEKHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 10/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE ABDOMINAL IMAGING DIVISION, DEPT OF RADIOLOGY
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

1365 CLIFTON RD NE ABDOMINAL IMAGING DIVISION, DEPT OF RADIOLOGY
ATLANTA GA
30322-1013
US

V. Phone/Fax

Practice location:
  • Phone: 617-939-6350
  • Fax:
Mailing address:
  • Phone: 617-939-6350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number229249
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number066064
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: