Healthcare Provider Details

I. General information

NPI: 1902899628
Provider Name (Legal Business Name): ATLANTA INSTITUTE FOR ENT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 PEACHTREE DUNWOODY RD NE SUITE 1280
ATLANTA GA
30342-4792
US

IV. Provider business mailing address

5670 PEACHTREE DUNWOODY RD NE SUITE 1280
ATLANTA GA
30342-4792
US

V. Phone/Fax

Practice location:
  • Phone: 404-257-1589
  • Fax: 404-303-1950
Mailing address:
  • Phone: 404-257-1589
  • Fax: 404-303-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRADEEP KUMAR SINHA
Title or Position: PRESIDENT
Credential: MD
Phone: 404-257-1589