Basic Information
| Provider Information | |||||||||
| NPI: | 1760597413 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINHA | ||||||||
| FirstName: | PRAMOD | ||||||||
| MiddleName: | KUMAR | ||||||||
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| Credential: | DDS MS ORTHODONTICS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3200 S UNIVERSITY DR RM 7346 | ||||||||
| Address2: | NOVA SOUTHEASTERN UNIVERSITY, DEPARTMENT OF ORTHODONTIC | ||||||||
| City: | DAVIE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333282018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542627339 | ||||||||
| FaxNumber: | 9542621782 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 S UNIVERSITY DR RM 7346 | ||||||||
| Address2: | NOVA SOUTHEASTERN UNIVERSITY | ||||||||
| City: | DAVIE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333282018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542627339 | ||||||||
| FaxNumber: | 9542621782 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 01/09/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223X0400X | DE00008102 | WA | Y | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics |
No ID Information.