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	3336C0003X	Community/Retail Pharmacy	25258	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2099614	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619059490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINDHU ENTERPRISE INC

Provider Business Mailing Address
First Line	:	7630 N BEACH ST
Second Line	:	SUITE 170
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1299
Country	:	US
Telephone Number	:	817-427-8774
Fax Number	:	817-427-8776

Provider Business Practice Location Address
First Line	:	7630 N BEACH ST
Second Line	:	SUITE 170
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1299
Country	:	US
Telephone Number	:	817-427-8774
Fax Number	:	817-427-8776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAMIP UPADHYAYA
Credential	:	RPH
Telephone Number	:	817-602-8980

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	02/15/2016

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Directions to “SINDHU ENTERPRISE INC ” Practice Location

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