# PATABI RAJ SEETHARAMAN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538342886
- **Authorized official:** PATABI RAJ SEETHARAMAN M.D. (OWNER)
- **Authorized official phone:** (330) 998-3198

## Contact information

- **Practice address:** 4043 IRVING PL APT 109, CULVER CITY, CA 90232-2964
- **Practice address phone:** (330) 998-3198
- **Mailing address:** 4043 IRVING PL APT 109, CULVER CITY, CA 90232-2964
- **Mailing address phone:** (330) 998-3198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35057803 | OH | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 09/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0897374 | — | OH |
| 01 | — | 9287993 | MEDICARE GROUP | — |
| 01 | — | CM1431 | MEDICARE ID TYPE UNSPECIFIED | OH |