Provider Demographics
NPI:1063923324
Name:SETHI, SURESHA ROMMNI
Entity type:Individual
Prefix:
First Name:SURESHA
Middle Name:ROMMNI
Last Name:SETHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3933 S DELAWARE PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3747
Mailing Address - Country:US
Mailing Address - Phone:918-695-9870
Mailing Address - Fax:
Practice Address - Street 1:3933 S DELAWARE PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-3747
Practice Address - Country:US
Practice Address - Phone:918-695-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist