Provider Demographics
NPI:1366484610
Name:SUKHWANT S SETHI MD,PC
Entity Type:Organization
Organization Name:SUKHWANT S SETHI MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHWANT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-289-9376
Mailing Address - Street 1:477 CONNECTICUT BLVD
Mailing Address - Street 2:304
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-3268
Mailing Address - Country:US
Mailing Address - Phone:860-289-9376
Mailing Address - Fax:
Practice Address - Street 1:477 CONNECTICUT BLVD
Practice Address - Street 2:304
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3268
Practice Address - Country:US
Practice Address - Phone:860-289-9376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT17043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC00217Medicare ID - Type Unspecified