Healthcare Provider Details
I. General information
NPI: 1073877346
Provider Name (Legal Business Name): ARJUN SEKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/01/2012
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
370 E RIDGE RD STE 20
ROCHESTER NY
14621-1239
US
IV. Provider business mailing address
100 KINGS HWY S
ROCHESTER NY
14617-5504
US
V. Phone/Fax
- Phone: 585-922-0400
- Fax:
- Phone: 585-922-1900
- Fax: 585-922-1002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 252455 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | 314359 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: