Provider Demographics
NPI:1225184658
Name:SEKAR, GUNA P (MD)
Entity Type:Individual
Prefix:
First Name:GUNA
Middle Name:P
Last Name:SEKAR
Suffix:
Gender:M
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:PO BOX 116156
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-6156
Mailing Address - Country:US
Mailing Address - Phone:470-325-0100
Mailing Address - Fax:470-325-0193
Practice Address - Street 1:555 OLD NORCROSS RD
Practice Address - Street 2:STE 210
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8716
Practice Address - Country:US
Practice Address - Phone:678-312-5250
Practice Address - Fax:678-442-7648
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA53376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA893193016AMedicaid