Active NPI
Raj Seetharaman MD
- Ophthalmology Physician
- Bedford, OH
National Provider Identifier
1144404062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35057803
- Legal business name
- RAJ SEETHARAMAN MD
- Practice address
- 767 Broadway Ave
Bedford, OH 44146-3644 - Phone
- (330) 392-4100
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patabi Seetharaman, M.D.
- Title
- Owner
- Phone
- (330) 392-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35057803 | OH | Primary |
Addresses
Primary practice location
767 Broadway Ave
Bedford, OH 44146-3644
Mailing address
32280 Wintergreen Dr
Solon, OH 44139-1356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0897374 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Patabi Raj Seetharaman MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Culver City, CA
- NPI 1538342886
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Culver City, CA
- NPI 1467547364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1144404062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32280 WINTERGREEN DR",
"city": "SOLON",
"state": "OH",
"postal_code": "441391356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 BROADWAY AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463644",
"telephone_number": "330-392-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJ SEETHARAMAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "SEETHARAMAN",
"authorized_official_first_name": "PATABI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-392-4100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": "35057803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0897374",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.