Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G87088 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G87088 | CA |
NPI | 1164445920 |
---|---|
Provider Name | Raj K. Sinha |
First Address | La Quinta, CA 92248-6449 |
Second Address | La Quinta, CA 92253-8854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 07/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G48741 | (02) | CA |