MEDICARE: DR. SAURABH RANJAN SINHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084E0001X	Epilepsy Physician	25MA11507900	NJ
2	2084E0001X	Epilepsy Physician	MD476807	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CB9280	OTHER	MD	R/R MEDICARE GROUP #
3	P00260093	OTHER	MD	R/R MEDICARE PROVIDER #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043211212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAURABH RANJAN SINHA M.D.

Provider Business Mailing Address
First Line	:	3400 SPRUCE STREET
Second Line	:	3 DULLES
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	215-662-3606
Fax Number	:	215-349-5579

Provider Business Practice Location Address
First Line	:	3400 SPRUCE STREET
Second Line	:	2 RAVDIN
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	215-662-3606
Fax Number	:	215-349-5579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/25/2025

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Directions to “ DR. SAURABH RANJAN SINHA M.D.” Practice Location

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