Provider Demographics
NPI:1063653194
Name:SINHA, SIDDHARTHA RICHIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SIDDHARTHA
Middle Name:RICHIE
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 1:43 RANCHRIDGE DRIVE NW
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3G1V9
Mailing Address - Country:CA
Mailing Address - Phone:403-971-2200
Mailing Address - Fax:
Practice Address - Street 1:43 RANCHRIDGE DRIVE NW
Practice Address - Street 2:
Practice Address - City:CALGARY
Practice Address - State:ALBERTA
Practice Address - Zip Code:T3G1V9
Practice Address - Country:CA
Practice Address - Phone:403-971-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2382392085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology