Healthcare Provider Details
I. General information
NPI: 1104827443
Provider Name (Legal Business Name): MEERA SETHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8424 DORSEY CIR 102
MANASSAS VA
20110-8301
US
IV. Provider business mailing address
8453 HOLLY LEAF DR
MC LEAN VA
22102-2226
US
V. Phone/Fax
- Phone: 703-368-1715
- Fax: 703-368-9350
- Phone: 703-368-1715
- Fax: 703-368-9350
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 0101237930 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 0101237930 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: