Provider Demographics
NPI:1164445920
Name:SINHA, RAJ K (MD)
Entity Type:Individual
Prefix:
First Name:RAJ
Middle Name:K
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6449
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6449
Mailing Address - Country:US
Mailing Address - Phone:760-625-1650
Mailing Address - Fax:760-625-1654
Practice Address - Street 1:47647 CALEO BAY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8854
Practice Address - Country:US
Practice Address - Phone:760-777-8282
Practice Address - Fax:760-771-9085
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG87088207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG48741Medicare UPIN
CA00G870880Medicare ID - Type Unspecified