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1073738084

NPI Code Detail

MEDICARE: HARTEJ SINGH SETHI MD

MEDICARE: HARTEJ SINGH SETHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084V0102X	Vascular Neurology Physician	2022-01057	NC
2	2084V0102X	Vascular Neurology Physician	04-35110	KS
3	2084N0400X	Neurology Physician	2022-01057	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	068002416	OTHER	KS	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200735780D	OTHER	KS	KMAP

General Provider Information

NPI Number	:	1073738084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARTEJ SINGH SETHI MD

Provider Business Mailing Address
First Line	:	4207 LAKE BOONE TRL STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6685
Country	:	US
Telephone Number	:	919-784-1410
Fax Number	:	919-784-1409

Provider Business Practice Location Address
First Line	:	4207 LAKE BOONE TRL STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6685
Country	:	US
Telephone Number	:	919-784-1410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/01/2022

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Directions to “ HARTEJ SINGH SETHI MD” Practice Location

Language	Start Address	Practice Location

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