Individual
SEBOUH SETRAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-4825
(216) 476-7109
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-4825
(216) 476-7109
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.061729
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000023743
UNICARE
OH
01
—
0110641
BCMH
OH
05
—
0110641
—
OH
01
—
1100289
UNITED HEALTH CARE
OH
01
—
1316
UNITED MINE WORKERS OF AM
OH
01
—
340714618011
MEDICAL MUTUAL OF OHIO
OH
01
—
340714618144
CARESOURCE
OH
01
—
5954238
AETNA US HEALTHCARE
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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