Provider Demographics
NPI:1467499897
Name:SETHI, CHANDER M (MD)
Entity Type:Individual
Prefix:
First Name:CHANDER
Middle Name:M
Last Name:SETHI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:111 CYPRESS STREET
Mailing Address - Street 2:BWPO DBA PROVIDER ENROLLMENT
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-582-1253
Mailing Address - Fax:617-582-1197
Practice Address - Street 1:75 FRANCIS STREET
Practice Address - Street 2:BRIGHAM & WOMENS HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:617-713-2279
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA220216207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B04842Medicare UPIN