Provider Demographics
NPI:1811073554
Name:SETON MEDICAL MANAGEMENT INC.
Entity type:Organization
Organization Name:SETON MEDICAL MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-624-7744
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:SUITE B124
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-633-2860
Mailing Address - Fax:251-631-3166
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:SUITE B124
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-633-2860
Practice Address - Fax:251-631-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty