Provider Demographics
NPI:1912315128
Name:SETIF INC
Entity Type:Organization
Organization Name:SETIF INC
Other - Org Name:SETIF INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAROTIMI
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:IKUSIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-383-0081
Mailing Address - Street 1:4920 NIAGARA RD STE 107
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1121
Mailing Address - Country:US
Mailing Address - Phone:301-446-3070
Mailing Address - Fax:301-446-3071
Practice Address - Street 1:4920 NIAGARA ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740
Practice Address - Country:US
Practice Address - Phone:201-446-3070
Practice Address - Fax:301-446-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization