Provider Demographics
NPI:1356383277
Name:SETH, PRABHAT (MD)
Entity type:Individual
Prefix:DR
First Name:PRABHAT
Middle Name:
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 1:1430 LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1606
Mailing Address - Country:US
Mailing Address - Phone:412-678-0219
Mailing Address - Fax:412-678-0764
Practice Address - Street 1:1430 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15131-1606
Practice Address - Country:US
Practice Address - Phone:412-678-0219
Practice Address - Fax:412-678-0764
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037071L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034338Medicare ID - Type Unspecified
PAC28251Medicare UPIN