Healthcare Provider Details
I. General information
NPI: 1609033661
Provider Name (Legal Business Name): VISMAI CHOLKERI SINHA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2008
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3705 OLENTANGY RIVER RD SUITE 260
COLUMBUS OH
43214-3467
US
IV. Provider business mailing address
5400 FRANTZ RD SUITE 250
DUBLIN OH
43016-4144
US
V. Phone/Fax
- Phone: 614-533-6600
- Fax: 614-533-6609
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | 35087554 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35087554 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: