Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301032558 | MI |
NPI | 1073543989 |
---|---|
Provider Name | Dr. Bageshwari Prasad Sinha |
First Address | Dearborn, MI 48124-3492 |
Second Address | Dearborn, MI 48124-3492 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 08/07/2007 |