Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 17398 | MN |
N | 2080P0210X | Pediatric Nephrologist | 17398 | MN |
NPI | 1558443598 |
---|---|
Provider Name | Alan Robert Sinaiko |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0058174 | (05) | MT |
0971457 | (05) | IA |
100940 | UCARE (01) | MN |
1010374 | PREFERRED ONE (01) | MN |
2T322SI | BLUE CROSS BLUE SHIELD (01) | MN |
31-22601 | MEDICA CHOICE (01) | MN |
31-74531 | MEDICA PRIMARY (01) | MN |
768350 | ARAZ (01) | MN |
A95874 | (02) | |
HP14406 | HEALTH PARTNERS (01) | MN |