Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 044104 | GA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 44104 | GA |
NPI | 1144203233 |
---|---|
Provider Name | Dr. Pradeep Kumar Sinha |
First Address | Atlanta, GA 30342-1699 |
Second Address | Atlanta, GA 30342-1699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 12/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000778522B | (05) | GA |
G66635 | (02) | GA |