Healthcare Provider Details

I. General information

NPI: 1164550117
Provider Name (Legal Business Name): DARLENE SEKEREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 903
CROWN POINT IN
46308-0903
US

IV. Provider business mailing address

PO BOX 903
CROWN POINT IN
46308-0903
US

V. Phone/Fax

Practice location:
  • Phone: 219-746-1818
  • Fax:
Mailing address:
  • Phone: 219-746-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01039731A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: