Basic Information
Provider Information
NPI: 1902971567
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINHA
FirstName: ABHISHEK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16542 VENTURA BLVD STE 402
Address2:  
City: ENCINO
State: CA
PostalCode: 914364562
CountryCode: US
TelephoneNumber: 8187825041
FaxNumber: 8182059091
Practice Location
Address1: 23929 MCBEAN PKWY STE 216
Address2:  
City: VALENCIA
State: CA
PostalCode: 913554468
CountryCode: US
TelephoneNumber: 6612591534
FaxNumber: 6612843670
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 08/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA116939CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XA116939CAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X53831TNN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011XA116939CAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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