=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932251311
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SETH PODIATRY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/17/2007
-----------------------------------------------------
Last Update Date | 07/17/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6320 EAST KEMPER ROAD SUITE 100
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-489-5533
-----------------------------------------------------
Fax | 513-489-5534
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6320 EAST KEMPER ROAD SUITE 100
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-489-5533
-----------------------------------------------------
Fax | 513-489-5534
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PRADIP SETH
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 513-489-5533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------