Healthcare Provider Details
I. General information
NPI: 1831417773
Provider Name (Legal Business Name): TARSHEEN KAUR SETHI MD, MSCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2010
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35 PARK ST
NEW HAVEN CT
06519-1110
US
IV. Provider business mailing address
360 STATE ST APT 3007
NEW HAVEN CT
06510-3631
US
V. Phone/Fax
- Phone: 203-200-4363
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 57570 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 66350 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: