1043482276 NPI number — SUNIL KUMAR SINHA MBBS

Table of content: SUNIL KUMAR SINHA MBBS (NPI 1043482276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043482276 NPI number — SUNIL KUMAR SINHA MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINHA
Provider First Name:
SUNIL
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043482276
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BANNER UNIVERSITY MEDICAL CENTER
Provider Second Line Business Mailing Address:
1501 N CAMPBELL AV ROOM 3329
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-626-5585
Provider Business Mailing Address Fax Number:
520-626-6571

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
535 N WILMOT RD, STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-694-5437
Provider Business Practice Location Address Fax Number:
520-874-7070
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  47516 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080P0205X , with the licence number: 58964 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 187558001 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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