Provider Demographics
NPI:1265495378
Name:SEKAR, BALASUNDARAM CHANDRA (MD)
Entity Type:Individual
Prefix:
First Name:BALASUNDARAM
Middle Name:CHANDRA
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 678746
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8746
Mailing Address - Country:US
Mailing Address - Phone:205-824-8000
Mailing Address - Fax:205-824-8111
Practice Address - Street 1:2010 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6804
Practice Address - Country:US
Practice Address - Phone:205-877-1990
Practice Address - Fax:205-824-8111
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL100682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51514423OtherBLUE CROSS/BLUE SHIELD
AL09966865Medicaid
AL51015610OtherBLUE CROSS/BLUE SHIELD
AL000015610Medicaid
AL51521241OtherBLUE CROSS BLUE SHIELD
AL09966865Medicaid