Provider Demographics
NPI:1417119694
Name:BENDO, SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:BENDO
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:# L-3652
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-6052
Mailing Address - Country:US
Mailing Address - Phone:740-383-7927
Mailing Address - Fax:740-383-7942
Practice Address - Street 1:801 OHIO HEALTH BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8900
Practice Address - Country:US
Practice Address - Phone:614-788-8410
Practice Address - Fax:614-788-8411
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35098788207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH094850Medicare PIN
OHH094851Medicare PIN