Healthcare Provider Details

I. General information

NPI: 1710397443
Provider Name (Legal Business Name): SHIKHA PRASAD SINHA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. SHIKHA PRASAD

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 06/26/2020
Certification Date: 06/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-7910
  • Fax:
Mailing address:
  • Phone: 570-271-6144
  • Fax: 570-271-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD470448
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number679584258
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: