Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 01082598A | IN |
NPI | 1003252198 |
---|---|
Provider Name | Preetha Keya Sinha |
First Address | Indianapolis, IN 46250-2890 |
Second Address | Noblesville, IN 46060-5006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2013 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300028240 | (05) | IN |