Provider Demographics
NPI:1265178891
Name:SEKANDLAPURAM, ROHIT SRINIVAS (MD)
Entity type:Individual
Prefix:
First Name:ROHIT
Middle Name:SRINIVAS
Last Name:SEKANDLAPURAM
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 1:121 DEKALB AVE HOUSE STAFF ADMINISTRATION
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-250-6604
Mailing Address - Fax:
Practice Address - Street 1:121 DEKALB AVE HOUSE STAFF ADMINISTRATION
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-250-6604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2023-01-25
Deactivation Date:2022-12-13
Deactivation Code:
Reactivation Date:2023-01-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program