Healthcare Provider Details

I. General information

NPI: 1689662843
Provider Name (Legal Business Name): AJAY K SETH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7442 FRANK AVE NW
NORTH CANTON OH
44720-7022
US

IV. Provider business mailing address

7442 FRANK AVE NW
NORTH CANTON OH
44720-7022
US

V. Phone/Fax

Practice location:
  • Phone: 330-455-5367
  • Fax: 330-455-6114
Mailing address:
  • Phone: 330-455-5367
  • Fax: 330-455-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35079643
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: