Provider Demographics
NPI:1528350352
Name:SETH, PRIYANKA (PA-C)
Entity type:Individual
Prefix:MS
First Name:PRIYANKA
Middle Name:
Last Name:SETH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:PRIYANKA
Other - Middle Name:
Other - Last Name:SETHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:82 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3942
Mailing Address - Country:US
Mailing Address - Phone:413-788-0100
Mailing Address - Fax:
Practice Address - Street 1:82 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3942
Practice Address - Country:US
Practice Address - Phone:413-788-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4146363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant