Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 245853-1 | NY |
N | 111NI0900X | Internist | 245853-1 | NY |
Y | 207R00000X | Internist | Q0820 | TX |
Y | 111NI0900X | Internist | Q0820 | TX |
N | 2081P2900X | Pain Medicine | Q0820 | TX |
NPI | 1063551661 |
---|---|
Provider Name | Mrs. Anupa Seth |
First Address | Fort Worth, TX 76104-7639 |
Second Address | Fort Worth, TX 76104-3114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 11/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02908258 | (05) | NY |