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General NPI Number Information
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NPI Number | 1073702635
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Entity Type | Organization
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Legal Business Name | JAYASHREE SINHA MD PC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1600 W 21ST ST SUITE B
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City | CLOVIS
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State | NM
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Zip | 88101-4084
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Country | US
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Telephone | 575-935-5051
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Fax | 575-935-5054
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Provider Business Mailing Address
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Address Line | 1600 W 21ST ST SUITE B
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City | CLOVIS
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State | NM
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Zip | 88101-4084
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Country | US
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Telephone | 575-935-5051
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Fax | 575-935-5054
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAYASHREE SINHA
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Credential | M.D.
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Telephone | 575-935-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2002-0328
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License Number State | NM
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