Provider Demographics
NPI:1174816409
Name:CHIDEYA, SEKAI (MD)
Entity Type:Individual
Prefix:DR
First Name:SEKAI
Middle Name:
Last Name:CHIDEYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SHATTUCK AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1871
Mailing Address - Country:US
Mailing Address - Phone:415-225-1025
Mailing Address - Fax:415-225-1019
Practice Address - Street 1:1801 SHATTUCK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1871
Practice Address - Country:US
Practice Address - Phone:415-225-1025
Practice Address - Fax:415-225-1019
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242932-1207Q00000X
CAA82769207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine