Provider Demographics
NPI:1205231032
Name:SINHA, ANJULI DEEP (DO)
Entity Type:Individual
Prefix:
First Name:ANJULI
Middle Name:DEEP
Last Name:SINHA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14025 DELANEY ST
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-2508
Mailing Address - Country:US
Mailing Address - Phone:757-473-2021
Mailing Address - Fax:
Practice Address - Street 1:11335 WOODED CREEK LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2315
Practice Address - Country:US
Practice Address - Phone:832-723-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285988207Q00000X
390200000X
TXR4475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program