Healthcare Provider Details

I. General information

NPI: 1821388422
Provider Name (Legal Business Name): THAKUR ANKIT SINHA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 S PANTHER CREEK DR
SPRING TX
77381-2764
US

IV. Provider business mailing address

12135 CLARA LN
PINEHURST TX
77362-1429
US

V. Phone/Fax

Practice location:
  • Phone: 281-363-3535
  • Fax:
Mailing address:
  • Phone: 281-363-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number46TR00524400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number114927
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: