Provider Demographics
NPI:1326081274
Name:SETHI, SANJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:
Last Name:SETHI
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:1350 FIRST COLONY BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4308
Practice Address - Country:US
Practice Address - Phone:281-277-5200
Practice Address - Fax:281-277-7295
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0911207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174463303Medicaid
TX174463302Medicaid
TX174463304Medicaid
TX174463301Medicaid
TX174463305Medicaid
TX8S3350OtherBLUE CROSS OF TEXAS
TX8D6665Medicare PIN
TXP00271993Medicare PIN
TX174463302Medicaid
TX8D6664Medicare PIN
TX8S3350OtherBLUE CROSS OF TEXAS
TX8G6539Medicare PIN