Provider Demographics
NPI:1023189545
Name:SEKARAN, MEENA (MD)
Entity type:Individual
Prefix:MRS
First Name:MEENA
Middle Name:
Last Name:SEKARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NARAYANACHAR
Other - Middle Name:MEENAKSHI
Other - Last Name:CHANDRASEKARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:270 SMITH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4914
Mailing Address - Country:US
Mailing Address - Phone:252-537-0134
Mailing Address - Fax:252-537-6515
Practice Address - Street 1:270 SMITH CHURCH ROAD
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870
Practice Address - Country:US
Practice Address - Phone:252-537-0134
Practice Address - Fax:252-537-6515
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38312207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5855748OtherVIRGINIA MEDICAID
NC8921996Medicaid
04 55335OtherUNITED HEALTHCARE
1435956HALIOtherUNITED MINE WORKERS
18619OtherCAPITOL BC PENN
75231OtherMEDCOST
020384900OtherDIVISION OF COAL MINERS
P00137475OtherRR MEDICARE PALMETTO
UT028182OtherVABCBS
NC21996OtherBCBSNC
P00137475OtherRR MEDICARE PALMETTO
E88532Medicare UPIN