Patabi Raj Seetharaman MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PATABI RAJ SEETHARAMAN MD

Practice address

4043 Irving PL Apt 109
Culver City, CA 90232-2964

Phone

(330) 998-3198

NPI assigned

Dec 10, 2007

Last updated

Sep 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patabi Raj Seetharaman, M.D.NPI 1467547364

Title

Owner

Phone

(330) 998-3198

Specialties & licenses 2

Addresses

Other identifiers 3

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.

• Raj Seetharaman MD

  • Ophthalmology Physician
  • Bedford, OH
  • NPI 1144404062
  NPD tax ID

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.

• Patabi Raj Seetharaman, M.D.

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1467547364
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695513600000",
    "number": "1538342886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 IRVING PL APT 109",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322964",
            "telephone_number": "330-998-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 IRVING PL APT 109",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322964",
            "telephone_number": "330-998-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATABI RAJ SEETHARAMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "SEETHARAMAN",
        "authorized_official_first_name": "PATABI",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-998-3198",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35057803",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "CM1431",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897374",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9287993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partners of Change Inc.
• Nicole Pascavis, AMFT, APCC
• Diana M Pash, M.A., LMFT
• Jessie Leann Passafuma
• Glenn A Pasternack, MD
• Pooja Patel
• Priya G Patel
• Reshma Patel, PA-C
• Shivani J Patel
• Wasantha Pathiraja

• Medical Specialty Clinic/Center in Culver City, CA
• Providers in Culver City, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2023; 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.