Basic Information
Provider Information
NPI: 1841559416
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETHI
FirstName: SEEMA
MiddleName: NIPHADKAR
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2500 MARYLAND RD STE 400
Address2:  
City: WILLOW GROVE
State: PA
PostalCode: 190901225
CountryCode: US
TelephoneNumber: 2154813064
FaxNumber: 2154816790
Practice Location
Address1: 3941 COMMERCE AVE
Address2:  
City: WILLOW GROVE
State: PA
PostalCode: 190901104
CountryCode: US
TelephoneNumber: 2154814000
FaxNumber: 2154817438
Other Information
ProviderEnumerationDate: 05/16/2012
LastUpdateDate: 09/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RH0003XOS019487PAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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