MEDICARE: SAILAKSHMI SEKAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7101008202	MI

General Provider Information

NPI Number	:	1295598464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAILAKSHMI SEKAR

Provider Business Mailing Address
First Line	:	41854 METALINE DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-3892
Country	:	US
Telephone Number	:	734-892-6666
Fax Number	:

Provider Business Practice Location Address
First Line	:	695 E GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-2525
Country	:	US
Telephone Number	:	313-925-6655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2024
Last Update Date	:	01/31/2024

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Directions to “ SAILAKSHMI SEKAR ” Practice Location

Language	Start Address	Practice Location

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