Provider Demographics
NPI:1104924380
Name:SETO, ANTHONY SY (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:SY
Last Name:SETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 LILIHA STREET
Mailing Address - Street 2:SUITE 403
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3563
Mailing Address - Country:US
Mailing Address - Phone:808-536-6665
Mailing Address - Fax:
Practice Address - Street 1:1520 LILIHA STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3563
Practice Address - Country:US
Practice Address - Phone:808-536-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI27962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI036728-01Medicaid
HIH0000BDDZTMedicare ID - Type Unspecified
HI036728-01Medicaid