Individual
HARISH SEETHAMRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, A301, LEXINGTON, KY 40536-0284
(859) 323-6494
(859) 257-4682
Mailing address
740 S LIMESTONE, A301, LEXINGTON, KY 40536-0284
(859) 323-6494
(859) 257-4682
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L7879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417037847
BLUE CROSS BLUE SHIELD
TX
05
—
163955101
—
TX
05
—
163955103
—
TX
01
—
1807842
LA MEDICAID
LA
01
—
P01023534
MEDICARE RR
TX
Enumeration date
10/17/2006
Last updated
07/10/2013
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