Provider Demographics
NPI:1073784682
Name:SETH, RAHUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:
Last Name:SETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 LENNON LN STE 235
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2544
Mailing Address - Country:US
Mailing Address - Phone:925-357-9050
Mailing Address - Fax:925-357-9040
Practice Address - Street 1:355 LENNON LN STE 235
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2544
Practice Address - Country:US
Practice Address - Phone:925-357-9050
Practice Address - Fax:925-357-9040
Is Sole Proprietor?:No
Enumeration Date:2008-03-22
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120806207Y00000X, 207YX0007X
OH57.011822207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1073784682Medicaid
CAGH228ZMedicare PIN