Provider Demographics
NPI:1467415034
Name:SETHI, AMARJEET (MD)
Entity Type:Individual
Prefix:
First Name:AMARJEET
Middle Name:
Last Name:SETHI
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 1:5220 HIGHLAND RD STE 240
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1973
Mailing Address - Country:US
Mailing Address - Phone:248-237-8065
Mailing Address - Fax:248-237-6569
Practice Address - Street 1:5220 HIGHLAND RD STE 240
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1973
Practice Address - Country:US
Practice Address - Phone:248-237-6580
Practice Address - Fax:248-237-6569
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI048890207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2571223Medicaid
MI290002632OtherRR MC
MI06317431OtherBS
E16199Medicare UPIN
MIOF37790002Medicare ID - Type Unspecified