Provider Demographics
NPI:1033209515
Name:SINHA, ANJAN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJAN
Middle Name:KUMAR
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:STE 130 PROVIDER ENROLLMENT
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 SENATE BLVD
Practice Address - Street 2:KRANNERT INSTITUTE OF CARDIOLOGY
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1228
Practice Address - Country:US
Practice Address - Phone:317-962-0066
Practice Address - Fax:317-962-0113
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055313A207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR6126OtherUNIVERSITY OF ARKANSAS
ARE-3422OtherLICENSE
IN01055313BOtherCSR
IN200845500Medicaid
IN01055313AOtherLICENSE
NY002520OtherLIMITED LICENSE
AR148386001Medicaid
AR1033209515OtherNPI
AR1033209515OtherNPI
IN01055313AOtherLICENSE
NY002520OtherLIMITED LICENSE
ARH71426Medicare UPIN