Healthcare Provider Details
I. General information
NPI: 1760040216
Provider Name (Legal Business Name): HARLEEN KAUR SETHI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/30/2019
Last Update Date: 07/13/2024
Certification Date: 07/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
925 CHESTNUT ST FL 7
PHILADELPHIA PA
19107-4240
US
IV. Provider business mailing address
925 CHESTNUT ST FL 7
PHILADELPHIA PA
19107-4240
US
V. Phone/Fax
- Phone: 215-955-6056
- Fax:
- Phone: 215-503-3223
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | OS023484 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: