Provider Demographics
NPI:1902863970
Name:SEKHAR, THEKKEPAT G (MD)
Entity Type:Individual
Prefix:
First Name:THEKKEPAT
Middle Name:G
Last Name: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 1:1021 N HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-1505
Mailing Address - Country:US
Mailing Address - Phone:478-922-9944
Mailing Address - Fax:478-922-3255
Practice Address - Street 1:1021 N HOUSTON RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-1505
Practice Address - Country:US
Practice Address - Phone:478-922-9944
Practice Address - Fax:478-922-3255
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA49744207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00912953AMedicaid
H43734Medicare UPIN
GA16BDVDKMedicare ID - Type Unspecified