Provider Demographics
NPI:1770654972
Name:SETH, VINOD K (MD)
Entity Type:Individual
Prefix:DR
First Name:VINOD
Middle Name:K
Last Name:SETH
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 1:1250 W HIGHLAND ACRES RD
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1259
Mailing Address - Country:US
Mailing Address - Phone:701-223-4234
Mailing Address - Fax:
Practice Address - Street 1:1250 W HIGHLAND ACRES RD
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1259
Practice Address - Country:US
Practice Address - Phone:701-223-4234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5847207RI0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND371042242OtherND WORK FORCE SAFETY
SD7774800Medicaid
ND16207Medicaid
ND290006143OtherPALMETTO GBA
MT0053669Medicaid
ND12565Medicare ID - Type UnspecifiedMEDICARE
SD7774800Medicaid