Provider Demographics
NPI:1578516506
Name:SETH, MONISHA A (MD)
Entity Type:Individual
Prefix:DR
First Name:MONISHA
Middle Name:A
Last Name:SETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 HOWELL BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1013
Mailing Address - Country:US
Mailing Address - Phone:407-629-8802
Mailing Address - Fax:407-629-8803
Practice Address - Street 1:1940 HOWELL BRANCH RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792
Practice Address - Country:US
Practice Address - Phone:407-629-8802
Practice Address - Fax:407-629-8803
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84627207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110232873OtherRAILROAD MEDICARE
FL15383OtherBCBS
FL15383OtherBCBS
FL15383ZMedicare PIN
FL263842800Medicaid