1023189222 NPI number — VINOD K SETH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023189222 NPI number — VINOD K SETH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VINOD K SETH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LUNG DISEASE AND INFECTION CONSULTANTS
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023189222
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 726
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BISMARCK
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58502-0726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-223-4234
Provider Business Mailing Address Fax Number:
701-222-0712

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 S 12TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BISMARCK
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58504-5622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-223-4234
Provider Business Practice Location Address Fax Number:
701-222-0712
Provider Enumeration Date:
11/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SETH
Authorized Official First Name:
VINOD
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
701-223-4234

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 290006143 . This is a "PALMETTO GBA" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 16207 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0053669 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7774800 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com