Healthcare Provider Details

I. General information

NPI: 1225251440
Provider Name (Legal Business Name): VISHAL SETHI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 PARK AVE STE 200
BALTIMORE MD
21201-5634
US

IV. Provider business mailing address

2140 PEACHTREE RD NW STE 232
ATLANTA GA
30309-1316
US

V. Phone/Fax

Practice location:
  • Phone: 443-738-0300
  • Fax: 443-738-0301
Mailing address:
  • Phone: 404-231-4431
  • Fax: 404-231-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0070809
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: