Basic Information
Provider Information
NPI: 1497753768
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEKAR
FirstName: CHANDRA
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 779
Address2:  
City: PARKERSBURG
State: WV
PostalCode: 261020779
CountryCode: US
TelephoneNumber: 3044221430
FaxNumber: 3044854466
Practice Location
Address1: 705 GARFIELD AVE
Address2: SUITE 180
City: PARKERSBURG
State: WV
PostalCode: 261015444
CountryCode: US
TelephoneNumber: 3044221430
FaxNumber: 3044854466
Other Information
ProviderEnumerationDate: 07/12/2005
LastUpdateDate: 10/16/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X11545WVY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001X35054412OHN Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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