1982844809 NPI number — HARMINDER S SETHI MD PA

Table of content: (NPI 1982844809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982844809 NPI number — HARMINDER S SETHI MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMINDER S SETHI MD PA
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:
Provider Other Organization Name Type Code:
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:
1982844809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1160 VARNUM ST NE
Provider Second Line Business Mailing Address:
#215
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20017-2107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-636-9090
Provider Business Mailing Address Fax Number:
202-636-9088

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1160 VARNUM ST NE
Provider Second Line Business Practice Location Address:
#215
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20017-2107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-636-9090
Provider Business Practice Location Address Fax Number:
202-636-9088
Provider Enumeration Date:
03/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HOLMES
Authorized Official First Name:
TAWANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
202-636-9090

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  MD31701 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RH0003X , with the licence number: D52767 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 403272100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 035145300 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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