Provider Demographics
NPI:1376764779
Name:SINHA, ABHINAV (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHINAV
Middle Name:
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 36830
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6830
Mailing Address - Country:US
Mailing Address - Phone:702-487-7055
Mailing Address - Fax:
Practice Address - Street 1:1905 MCDANIEL ST STE 105
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7170
Practice Address - Country:US
Practice Address - Phone:702-868-7777
Practice Address - Fax:702-260-0333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503078Medicaid
NV100503078Medicaid
NVI03608Medicare UPIN