Healthcare Provider Details

I. General information

NPI: 1053484121
Provider Name (Legal Business Name): MANVESH NATH SINHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 RIVER ROAD
DECATUR TN
37322
US

IV. Provider business mailing address

PO BOX 308
BENTON TN
37307
US

V. Phone/Fax

Practice location:
  • Phone: 423-334-4154
  • Fax: 423-334-4195
Mailing address:
  • Phone: 423-338-8995
  • Fax: 423-338-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD0000028172
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: