Provider Demographics
NPI:1437731189
Name:SETHI, KANIKA
Entity Type:Individual
Prefix:
First Name:KANIKA
Middle Name:
Last Name:SETHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 SELBY LN
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6373
Mailing Address - Country:US
Mailing Address - Phone:925-321-8811
Mailing Address - Fax:
Practice Address - Street 1:572 SELBY LN
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-6373
Practice Address - Country:US
Practice Address - Phone:925-321-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program