Provider Demographics
NPI:1821027665
Name:RANJIT K SETHI MD PC
Entity Type:Organization
Organization Name:RANJIT K SETHI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANJIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-724-0791
Mailing Address - Street 1:820 ST SEBASTIAN WAY
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901
Mailing Address - Country:US
Mailing Address - Phone:706-724-0791
Mailing Address - Fax:706-724-8797
Practice Address - Street 1:820 ST SEBASTIAN WAY
Practice Address - Street 2:SUITE 5C
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901
Practice Address - Country:US
Practice Address - Phone:706-724-0791
Practice Address - Fax:706-724-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0313212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00421253AMedicaid
E91405Medicare UPIN
GA00421253AMedicaid