Provider Demographics
NPI:1346334661
Name:DODDI, SESHAGIRI R (MD)
Entity Type:Individual
Prefix:
First Name:SESHAGIRI
Middle Name:R
Last Name:DODDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 OLD JACKSON AVE
Mailing Address - Street 2:UNIT # 37
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3203
Mailing Address - Country:US
Mailing Address - Phone:914-925-5366
Mailing Address - Fax:914-925-5169
Practice Address - Street 1:275 NORTH ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1524
Practice Address - Country:US
Practice Address - Phone:914-925-5366
Practice Address - Fax:914-925-5169
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1422442084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00823170Medicaid
B05029Medicare UPIN
15D811Medicare PIN