Healthcare Provider Details

I. General information

NPI: 1710279187
Provider Name (Legal Business Name): THILLAI SEKAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

35 THOREAU DR
PLAINSBORO NJ
08536-3018
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3989
  • Fax:
Mailing address:
  • Phone: 609-275-0578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number283869
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: