Provider Demographics
NPI:1902922792
Name:T V SESHAN M D P C
Entity Type:Organization
Organization Name:T V SESHAN M D P C
Other - Org Name:NEURO ALERT MONITORING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SURYA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-746-6455
Mailing Address - Street 1:399 KNOLLWOOD ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1916
Mailing Address - Country:US
Mailing Address - Phone:914-949-8501
Mailing Address - Fax:914-949-8502
Practice Address - Street 1:399 KNOLLWOOD RD.
Practice Address - Street 2:SUITE 108
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603
Practice Address - Country:US
Practice Address - Phone:914-949-8501
Practice Address - Fax:914-949-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144429208100000X
CT035937208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY490430OtherAETNA ID#
NY66A221OtherBC-BS ID#
NYWS1079OtherOXFORD ID#
NY109674700OtherUS DEPT OF LABOR ID#
NY70420OtherMAGNACARE ID#
NY66A221Medicare ID - Type UnspecifiedINDIVIDUAL ID#
NYB78795Medicare UPIN
NY109674700OtherUS DEPT OF LABOR ID#
NY109674700OtherUS DEPT OF LABOR ID#
NYB78795Medicare UPIN