Healthcare Provider Details

I. General information

NPI: 1225279144
Provider Name (Legal Business Name): TERESA LIN SETO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA LIN M.D.

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 OLENTANGY RIVER RD
COLUMBUS OH
43214-3912
US

IV. Provider business mailing address

3555 OLENTANGY RIVER RD
COLUMBUS OH
43214-3912
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5605
  • Fax: 614-566-6745
Mailing address:
  • Phone: 614-566-5605
  • Fax: 614-566-6745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.096366
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35.096366
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: