Provider Demographics
NPI:1871560169
Name:SETIA, SUMAN KANT (MD)
Entity type:Individual
Prefix:DR
First Name:SUMAN
Middle Name:KANT
Last Name:SETIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8940 GOLDEN OAK CT
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-3202
Mailing Address - Country:US
Mailing Address - Phone:708-237-0667
Mailing Address - Fax:
Practice Address - Street 1:3900 W 95TH ST
Practice Address - Street 2:#3
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-1922
Practice Address - Country:US
Practice Address - Phone:708-423-3242
Practice Address - Fax:708-423-2856
Is Sole Proprietor?:No
Enumeration Date:2006-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036091885207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine