Healthcare Provider Details

I. General information

NPI: 1205231032
Provider Name (Legal Business Name): ANJULI DEEP SINHA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11335 WOODED CREEK LN
CYPRESS TX
77433-2315
US

IV. Provider business mailing address

14025 DELANEY ST
LA MARQUE TX
77568-2508
US

V. Phone/Fax

Practice location:
  • Phone: 832-723-3738
  • Fax:
Mailing address:
  • Phone: 757-473-2021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number285988
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR4475
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: