Healthcare Provider Details

I. General information

NPI: 1033095849
Provider Name (Legal Business Name): SHIVASHREE SEKAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N 11TH ST
RICHMOND VA
23298-5024
US

IV. Provider business mailing address

7 N 8TH ST APT 1005
RICHMOND VA
23219-3327
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-6685
  • Fax:
Mailing address:
  • Phone: 551-233-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0116042399
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: