Healthcare Provider Details
I. General information
NPI: 1407483035
Provider Name (Legal Business Name): KARTHIK SEETHARAMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2020
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 W. PUEBLO STREET SANTA BARBARA COTTAGE HOSPITAL
SANTA BARBARA CA
93105
US
IV. Provider business mailing address
400 W. PUEBLO STREET SANTA BARBARA COTTAGE HOSPITAL
SANTA BARBARA CA
93105
US
V. Phone/Fax
- Phone: 805-569-7315
- Fax: 805-569-8358
- Phone: 805-569-7315
- Fax: 805-569-8358
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: