Provider Demographics
NPI:1366472268
Name:SEET, RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:
Last Name:SEET
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 1:1116 B ST
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-4054
Mailing Address - Country:US
Mailing Address - Phone:707-776-2700
Mailing Address - Fax:707-776-2728
Practice Address - Street 1:1116 B ST
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-4054
Practice Address - Country:US
Practice Address - Phone:707-776-2700
Practice Address - Fax:707-776-2728
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20523207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG20523Medicare ID - Type UnspecifiedMCARE