Provider Demographics
NPI:1629110291
Name:SEKHAR, ALICE BUCHANAN (MS, RD)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:BUCHANAN
Last Name:SEKHAR
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:ELIZABETH
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 PIER WAY LNDG
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6424
Mailing Address - Country:US
Mailing Address - Phone:920-216-1640
Mailing Address - Fax:
Practice Address - Street 1:2 PIER WAY LNDG
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-6424
Practice Address - Country:US
Practice Address - Phone:920-216-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1892133V00000X
WI1951-029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered