Healthcare Provider Details

I. General information

NPI: 1154618247
Provider Name (Legal Business Name): SEEMA SETHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEEMA BAHRI

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

831 BENJAMIN DRIVE
TROY MI
48098
US

V. Phone/Fax

Practice location:
  • Phone: 248-635-6225
  • Fax:
Mailing address:
  • Phone: 248-635-6225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number4301999753
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberL1992155
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: