Healthcare Provider Details

I. General information

NPI: 1942492848
Provider Name (Legal Business Name): MADHU SINHA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5723 141ST ST
FLUSHING NY
11355-5318
US

IV. Provider business mailing address

5723 141ST ST
FLUSHING NY
11355-5318
US

V. Phone/Fax

Practice location:
  • Phone: 718-806-1434
  • Fax: 718-806-1435
Mailing address:
  • Phone: 718-806-1434
  • Fax: 718-806-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number194439
License Number StateNY

VIII. Authorized Official

Name: MADHU SINHA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-806-1434