Provider Demographics
NPI:1932268638
Name:SETH, BRAHMI HARITMAI (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAHMI
Middle Name:HARITMAI
Last Name:SETH
Suffix:
Gender:F
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:PO BOX 601643
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1643
Mailing Address - Country:US
Mailing Address - Phone:980-487-3678
Mailing Address - Fax:980-487-3294
Practice Address - Street 1:201 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3917
Practice Address - Country:US
Practice Address - Phone:980-487-3678
Practice Address - Fax:980-487-3294
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241334-1207R00000X
NC2007-00025207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN25007Medicaid
NC1932268638Medicaid
NC5905974Medicaid
NCNCB086AMedicare PIN
NC1932268638Medicaid
NC2067496AMedicare PIN