Healthcare Provider Details

I. General information

NPI: 1902971567
Provider Name (Legal Business Name): ABHISHEK SINHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23929 MCBEAN PKWY STE 216
VALENCIA CA
91355-4468
US

IV. Provider business mailing address

16542 VENTURA BLVD STE 402
ENCINO CA
91436-4562
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-1534
  • Fax: 661-284-3670
Mailing address:
  • Phone: 818-782-5041
  • Fax: 818-205-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA116939
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA116939
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number53831
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA116939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: