Healthcare Provider Details

I. General information

NPI: 1134196223
Provider Name (Legal Business Name): ANUPAMA SEKAR RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E 11TH ST 9TH FLOOR
NEW YORK NY
10003-4602
US

IV. Provider business mailing address

701 BUSHWICK AVE APT 3C
BROOKLYN NY
11221-2543
US

V. Phone/Fax

Practice location:
  • Phone: 212-604-8073
  • Fax:
Mailing address:
  • Phone: 917-459-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number007999
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: