MEDICARE: SUMAN 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	207RP1001X	Pulmonary Disease Physician	A79638	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A79638	CA
3	207RP1001X	Pulmonary Disease Physician	P8192	TX

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	:	1114947900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMAN SINHA M.D.

Provider Business Mailing Address
First Line	:	919 HIDDEN RDG
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3813
Country	:	US
Telephone Number	:	469-282-2711
Fax Number	:	469-282-0996

Provider Business Practice Location Address
First Line	:	2602 SAINT MICHAEL DR
Second Line	:	SUITE 400
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2387
Country	:	US
Telephone Number	:	903-614-5670
Fax Number	:	903-614-5674

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/17/2017

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Directions to “ SUMAN SINHA M.D.” Practice Location

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