Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 47516 | TN |
Y | 2080P0205X | Pediatric Endocrinologist | 58964 | AZ |
NPI | 1043482276 |
---|---|
Provider Name | Sunil Kumar Sinha |
First Address | Tucson, AZ 85724 |
Second Address | Tucson, AZ 85711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
187558001 | (05) | TN |