MEDICARE: DR. SUDHIR SEKHSARIA MD

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	207K00000X	Allergy & Immunology Physician	D0038106	MD

General Provider Information

NPI Number	:	1568423606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUDHIR SEKHSARIA MD

Provider Business Mailing Address
First Line	:	5430 CAMPBELL BLVD STE 103
Second Line	:
City	:	WHITE MARSH
State	:	MD
Zip	:	21162-5503
Country	:	US
Telephone Number	:	410-933-9404
Fax Number	:	410-933-9405

Provider Business Practice Location Address
First Line	:	5430 CAMPBELL BLVD
Second Line	:	SUITE 103
City	:	WHITE MARSH
State	:	MD
Zip	:	21162-5500
Country	:	US
Telephone Number	:	410-933-9404
Fax Number	:	410-933-9405

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	01/21/2021

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