Healthcare Provider Details

I. General information

NPI: 1487641338
Provider Name (Legal Business Name): INDER KUMAR SEEKRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BOULEVARD
KOKOMO IN
46902-6079
US

IV. Provider business mailing address

2000 W BOULEVARD
KOKOMO IN
46902-6079
US

V. Phone/Fax

Practice location:
  • Phone: 765-456-1790
  • Fax: 765-457-3561
Mailing address:
  • Phone: 765-456-1790
  • Fax: 765-457-3561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01040396A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: