Provider Demographics
NPI:1902953714
Name:UTHAPPA, N.SEETHA (MD)
Entity type:Individual
Prefix:
First Name:N.SEETHA
Middle Name:
Last Name:UTHAPPA
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:HENRY FORD HEALTH SYSTEM
Mailing Address - Street 2:4401 CONNER
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215
Mailing Address - Country:US
Mailing Address - Phone:313-823-9800
Mailing Address - Fax:
Practice Address - Street 1:HENRY FORD HEALTH SYSTEM
Practice Address - Street 2:4401 CONNER
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215
Practice Address - Country:US
Practice Address - Phone:313-823-9800
Practice Address - Fax:313-823-9883
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031297208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SU031297OtherCHAMPUS-CHAMPUS
SU031297OtherCOMMERCIAL-COMMERCIAL NUMBER
B49551Medicare UPIN