1144364670 NPI number — DR. RAMAN SINHA D.P.M.

Table of content: DR. RAMAN SINHA D.P.M. (NPI 1144364670)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144364670 NPI number — DR. RAMAN SINHA D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINHA
Provider First Name:
RAMAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
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:
1144364670
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1407
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOULDER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80306-1407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-213-8620
Provider Business Mailing Address Fax Number:
720-223-6300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11827 RIDGE PKWY
Provider Second Line Business Practice Location Address:
SUITE 734
Provider Business Practice Location Address City Name:
BROOMFIELD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80021-5080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-213-8620
Provider Business Practice Location Address Fax Number:
720-223-6300
Provider Enumeration Date:
02/17/2007

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: 213E00000X , with the licence number:  1801 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213E00000X , with the licence number: 2006039238 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213E00000X , with the licence number: 12-00366 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213E00000X , with the licence number: POD-695 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P00640661 . This is a "RRM GROUP MEMBER PTAN #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 96002841 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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