Individual
DR. MICHAEL V. SEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 PINECROFT DR STE 450, SHENANDOAH, TX 77380-3280
(281) 296-0365
(281) 298-8907
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71183
MA
207RX0202X
Medical Oncology Physician
71183
MA
207RX0202X
Medical Oncology Physician
MD432386
PA
207RX0202X
Medical Oncology Physician
Primary
P8997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102213389001
—
PA
01
—
071183
TUFTS HEALTH PLAN
MA
05
—
3122026
—
MA
05
—
333013601
—
TX
01
—
J09299
BCBS MA
MA
Enumeration date
11/16/2005
Last updated
08/18/2014
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