Provider Demographics
NPI:1669408415
Name:ASHOK, SEETHARAMAN (MD)
Entity type:Individual
Prefix:
First Name:SEETHARAMAN
Middle Name:
Last Name:ASHOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 W 7TH ST
Mailing Address - Street 2:103
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4926
Mailing Address - Country:US
Mailing Address - Phone:559-410-8423
Mailing Address - Fax:559-410-8468
Practice Address - Street 1:880 W 7TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4926
Practice Address - Country:US
Practice Address - Phone:559-410-8423
Practice Address - Fax:559-410-8468
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC54457208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEU098AMedicare PIN