Provider Demographics
NPI:1144203233
Name:SINHA, PRADEEP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:PRADEEP
Middle Name:KUMAR
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5670 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 1280
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1699
Mailing Address - Country:US
Mailing Address - Phone:404-257-1589
Mailing Address - Fax:404-303-1950
Practice Address - Street 1:5670 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 1280
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1699
Practice Address - Country:US
Practice Address - Phone:404-257-1589
Practice Address - Fax:404-303-1950
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2020-02-12
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Provider Licenses
StateLicense IDTaxonomies
GA44104207YX0905X
GA044104207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000778522BMedicaid
GA000778522BMedicaid
GAG66635Medicare UPIN