Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | M6874 | TX |
N | 2081S0010X | Sports Medicine | M6874 | TX |
N | 213ES0000X | Sports Medicine | M6874 | TX |
NPI | 1326268087 |
---|---|
Provider Name | Dr. Shikha Sethi |
First Address | Carrollton, TX 75010-4615 |
Second Address | Carrollton, TX 75010-4615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8CR156 | BCBS TX 02/01/2011 (01) | TX |
P00913359 | RAILROAD MEDICARE (01) | TX |
TXB117512 | MEDICARE PART B - EFFECT 02/01/2011 (01) | TX |