Provider Demographics
NPI:1861612103
Name:CHANDRA SEKHAR, PRASHANTH (MD)
Entity type:Individual
Prefix:DR
First Name:PRASHANTH
Middle Name:
Last Name:CHANDRA SEKHAR
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 1:2350 N OCOEE ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3850
Mailing Address - Country:US
Mailing Address - Phone:423-244-9262
Mailing Address - Fax:423-244-9263
Practice Address - Street 1:2350 N OCOEE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3850
Practice Address - Country:US
Practice Address - Phone:423-244-9262
Practice Address - Fax:423-244-9623
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN51742207RE0101X, 207RE0101X
IA38900207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I465971Medicare PIN