Provider Demographics
NPI:1750330734
Name:SELIGMANN, RALPH ELLIOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ELLIOTT
Last Name:SELIGMANN
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 1:10900 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5216
Mailing Address - Country:US
Mailing Address - Phone:480-609-8600
Mailing Address - Fax:480-922-4966
Practice Address - Street 1:10900 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5216
Practice Address - Country:US
Practice Address - Phone:480-609-8600
Practice Address - Fax:480-922-4966
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13136207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD00299Medicare UPIN
AZZWMBGB-02Medicare ID - Type Unspecified