Healthcare Provider Details

I. General information

NPI: 1770627895
Provider Name (Legal Business Name): AMY SINHA DO.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20905 PROFESSIONAL PLAZA SUITE 330
ASHBURN VA
20147-3409
US

IV. Provider business mailing address

P.O. BOX 37189
BALTIMORE MD
21297-3189
US

V. Phone/Fax

Practice location:
  • Phone: 703-726-0003
  • Fax: 703-726-6444
Mailing address:
  • Phone: 571-423-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-116984
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102203116
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: