Provider Demographics
NPI:1699060764
Name:RANSOM, SERETHA MARIA (MD)
Entity type:Individual
Prefix:
First Name:SERETHA
Middle Name:MARIA
Last Name:RANSOM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 COOPER RD STE 320
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-6045
Mailing Address - Country:US
Mailing Address - Phone:380-201-3390
Mailing Address - Fax:380-201-3391
Practice Address - Street 1:477 COOPER RD STE 320
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-6045
Practice Address - Country:US
Practice Address - Phone:380-201-3390
Practice Address - Fax:380-201-3391
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL33820207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology