Healthcare Provider Details

I. General information

NPI: 1538880075
Provider Name (Legal Business Name): ASHISH SETHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP 725 IRVING AVE SUITE 300
SYRACUSE NY
13210
US

IV. Provider business mailing address

DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP 725 IRVING AVE SUITE 300
SYRACUSE NY
13210
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-9360
  • Fax: 315-464-9361
Mailing address:
  • Phone: 315-464-9360
  • Fax: 315-464-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number341451
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: