Provider Demographics
NPI:1922105923
Name:SUDHIR SEKHSARIA, MD PC
Entity Type:Organization
Organization Name:SUDHIR SEKHSARIA, MD PC
Other - Org Name:ASTHMA, ALLERGY & SINUS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKHSARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-933-9404
Mailing Address - Street 1:5430 CAMPBELL BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5500
Mailing Address - Country:US
Mailing Address - Phone:410-933-9404
Mailing Address - Fax:410-933-9405
Practice Address - Street 1:5430 CAMPBELL BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5500
Practice Address - Country:US
Practice Address - Phone:410-933-9404
Practice Address - Fax:410-933-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38106261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
E54698Medicare UPIN