Individual
KINJAL SETHURAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,
Contact information
Practice address
22 SOUTH GREENE STREET, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
236222
NY
207P00000X
Emergency Medicine Physician
Primary
D68457
MD
207P00000X
Emergency Medicine Physician
M8987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136
BLUE CROSS
MD
05
—
02688939
—
NY
05
—
039882900
—
MD
05
—
190262903
—
TX
05
—
190262905
—
TX
01
—
8AH276
BCBSTX
TX
Enumeration date
09/20/2006
Last updated
03/01/2012
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