Healthcare Provider Details

I. General information

NPI: 1255673935
Provider Name (Legal Business Name): ARJUN SINHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 N SAINT CLAIR ST STE 18-200
CHICAGO IL
60611-5929
US

IV. Provider business mailing address

675 N SAINT CLAIR ST STE 18-200
CHICAGO IL
60611-5929
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8630
  • Fax: 312-695-2857
Mailing address:
  • Phone: 312-695-8630
  • Fax: 312-695-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036142855
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036142855
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number036142855
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: