Healthcare Provider Details

I. General information

NPI: 1265922728
Provider Name (Legal Business Name): SEKUFE AKHTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 S EAST ST STE C
INDIANAPOLIS IN
46227-1991
US

IV. Provider business mailing address

11 TRAFALGAR SQ
TRAFALGAR IN
46181-9515
US

V. Phone/Fax

Practice location:
  • Phone: 317-534-4660
  • Fax: 317-782-4301
Mailing address:
  • Phone: 317-680-9103
  • Fax: 317-872-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.160026
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number325609
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02008269A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: