Provider Demographics
NPI:1497858666
Name:THOMANDRAM SEKAR, MD, PC
Entity Type:Organization
Organization Name:THOMANDRAM SEKAR, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMANDRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-420-1935
Mailing Address - Street 1:PO BOX 68952
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-0952
Mailing Address - Country:US
Mailing Address - Phone:317-802-6415
Mailing Address - Fax:317-870-0499
Practice Address - Street 1:2910 LAKE AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5416
Practice Address - Country:US
Practice Address - Phone:260-420-1935
Practice Address - Fax:260-420-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100355330BMedicaid
924650Medicare PIN