MEDICARE: DR. DIANE S SINNATAMBY MD

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	207RI0200X	Infectious Disease Physician	0101237121	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C06695	OTHER	VA	GROUP PTAN

General Provider Information

NPI Number	:	1174575732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANE S SINNATAMBY MD

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8220 MEADOWBRIDGE RD STE 203
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2339
Country	:	US
Telephone Number	:	804-764-2200
Fax Number	:	804-764-3291

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/24/2026

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