Organization Active NPI

Raj Seetharaman MD

  • Ophthalmology Physician
  • Bedford, OH
National Provider Identifier
1144404062
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35057803 Issued in OH
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

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patabi Seetharaman, M.D.NPI 1467547364
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0897374MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Patabi Raj Seetharaman MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.