1548589203 NPI number — RANJAN K SINHA MD PC

Table of content: (NPI 1548589203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548589203 NPI number — RANJAN K SINHA MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RANJAN K SINHA MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1548589203
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 MARQUIS RDG
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18966-2122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-350-9401
Provider Business Mailing Address Fax Number:
215-785-9032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 BATH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19007-3101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-350-9401
Provider Business Practice Location Address Fax Number:
215-785-9032
Provider Enumeration Date:
05/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SINHA
Authorized Official First Name:
RANJAN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-350-9401

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  MD070550L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9397554 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3816259000 . This is a "MAGELLAN MHS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 11688447 . This is a "CAQH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3816259000 . This is a "INDEPENDENCE BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 600657760 . This is a "MAGELLAN MIS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: DR2150 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1024967760001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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