Basic Information
| Provider Information | |||||||||
| NPI: | 1932233715 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINHA | ||||||||
| FirstName: | ANJANI | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11211 PROSPERITY FARMS RD | ||||||||
| Address2: | B-104 | ||||||||
| City: | PALM BEACH GARDENS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334103446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5615374526 | ||||||||
| FaxNumber: | 5616343449 | ||||||||
| Practice Location | |||||||||
| Address1: | 9970 CENTRAL PARK BLVD | ||||||||
| Address2: | SUITE 207 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5615889912 | ||||||||
| FaxNumber: | 5618282908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 01/26/2018 | ||||||||
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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 | 174400000X | 147448 | NY | N | Other Service Providers | Specialist | 207X00000X | ME94287 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 00980676 | 05 | NY | MEDICAID |