Provider Demographics
NPI:1356455133
Name:SINHA, HIRENDRA PRATAP (MD)
Entity Type:Individual
Prefix:
First Name:HIRENDRA
Middle Name:PRATAP
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:PO BOX 1145
Mailing Address - Street 2:4 UNION AVENUE
Mailing Address - City:CENTRAL MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11934
Mailing Address - Country:US
Mailing Address - Phone:631-878-8667
Mailing Address - Fax:631-878-8139
Practice Address - Street 1:4 UNION AVENUE
Practice Address - Street 2:
Practice Address - City:CENTER MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11934
Practice Address - Country:US
Practice Address - Phone:631-878-8667
Practice Address - Fax:631-878-8139
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142253208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
34A161Medicare ID - Type Unspecified
C08754Medicare UPIN