Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301110916 | MI |
N | 111NI0900X | Internist | 4301110916 | MI |
Y | 207RA0401X | Internist - Addiction Medicine | 4301110916 | MI |
NPI | 1811330657 |
---|---|
Provider Name | Sheba Sethi |
First Address | Ann Arbor, MI 48108 |
Second Address | Grosse Pointe, MI 48230-6235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 15/09/2021 |