MEDICARE: SINDHU ENTERPRISE INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	25421	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
2	2100004	OTHER		PK

General Provider Information

NPI Number	:	1154459352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINDHU ENTERPRISE INC

Provider Business Mailing Address
First Line	:	3529 HERITAGE TRACE PKWY
Second Line	:	STE 141
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4970
Country	:	US
Telephone Number	:	817-741-7100
Fax Number	:	817-741-7101

Provider Business Practice Location Address
First Line	:	3529 HERITAGE TRACE PKWY
Second Line	:	STE 141
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4970
Country	:	US
Telephone Number	:	817-741-7100
Fax Number	:	817-741-7101

Authorized Official
Title or Position	:	SECRETARY
Name	:	RAMU GUNDA
Credential	:	RPH
Telephone Number	:	817-741-7100

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	01/20/2017

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Directions to “SINDHU ENTERPRISE INC ” Practice Location

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