Provider Demographics
NPI:1073740288
Name:SINH, NIPA HITENDRA (MD)
Entity Type:Individual
Prefix:
First Name:NIPA
Middle Name:HITENDRA
Last Name:SINH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIPA
Other - Middle Name:NATVERSINH
Other - Last Name:TAKOLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:10110 SOUTH 7650 EAST
Mailing Address - City:CROW AGENCY
Mailing Address - State:MT
Mailing Address - Zip Code:59022-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10110 SOUTH 7650 EAST
Practice Address - Street 2:
Practice Address - City:CROW AGENCY
Practice Address - State:MT
Practice Address - Zip Code:59022-0009
Practice Address - Country:US
Practice Address - Phone:406-638-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61992-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine