Healthcare Provider Details

I. General information

NPI: 1689786022
Provider Name (Legal Business Name): AJAY KUMAR SINHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 W 10TH ST
INDIANAPOLIS IN
46202-2803
US

IV. Provider business mailing address

3626 MILL RUN CIR APT # 1716
INDIANAPOLIS IN
46214-5094
US

V. Phone/Fax

Practice location:
  • Phone: 317-988-2501
  • Fax: 317-988-3243
Mailing address:
  • Phone: 812-249-6921
  • Fax: 317-988-3243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01054817A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: