Healthcare Provider Details

I. General information

NPI: 1467528703
Provider Name (Legal Business Name): KAVITA SETH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAVITA SHROFF

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 TOWPATH RD STE 235
EAST SYRACUSE NY
13057-9509
US

IV. Provider business mailing address

6711 TOWPATH RD STE 235
EAST SYRACUSE NY
13057-9509
US

V. Phone/Fax

Practice location:
  • Phone: 315-471-2646
  • Fax: 315-471-1762
Mailing address:
  • Phone: 315-471-2646
  • Fax: 315-471-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number235236
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number235236
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: