Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | NC |
NPI | 1003800020 |
---|---|
Provider Name | Dr. Merritt J. Seshul |
First Address | Hickory, NC 28601-3834 |
Second Address | Hickory, NC 28601-3834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130KH | BCBS (01) | |
8357400008 | CIGNA (01) | |
89130KH | (05) | NC |
G31209 | (02) |