Healthcare Provider Details
I. General information
NPI: 1356879464
Provider Name (Legal Business Name): SETH DESIRE HYKES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/02/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12351 PERRY HWY
WEXFORD PA
15090-8344
US
IV. Provider business mailing address
146 CRYSTAL CREEK CIR
OAKDALE PA
15071-3833
US
V. Phone/Fax
- Phone: 412-359-3030
- Fax: 412-359-3060
- Phone: 973-985-8965
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS020658 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | OS020658 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: