Provider Demographics
NPI:1487641338
Name:SEEKRI, INDER KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:INDER
Middle Name:KUMAR
Last Name:SEEKRI
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 1:2000 W BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-6079
Mailing Address - Country:US
Mailing Address - Phone:765-456-1790
Mailing Address - Fax:765-457-3561
Practice Address - Street 1:2000 W BOULEVARD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6079
Practice Address - Country:US
Practice Address - Phone:765-456-1790
Practice Address - Fax:765-457-3561
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040396A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
INF31256Medicare UPIN
IN365620CMedicare ID - Type Unspecified