MEDICARE: SINDHU E PHILIP DO

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	208000000X	Pediatrics Physician	47752	MN
2	208000000X	Pediatrics Physician	L7846	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	:	1740264894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDHU E PHILIP DO

Provider Business Mailing Address
First Line	:	114 OLYMPIA LN
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5071
Country	:	US
Telephone Number	:	214-934-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	541 W MAIN ST STE 110
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3628
Country	:	US
Telephone Number	:	469-702-6633
Fax Number	:	469-702-6636

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	07/22/2019

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Directions to “ SINDHU E PHILIP DO” Practice Location

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