Provider Demographics
NPI:1407918071
Name:BP SINHA MD PC
Entity Type:Organization
Organization Name:BP SINHA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BAGESHWARI
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-274-8900
Mailing Address - Street 1:2841 MONROE ST
Mailing Address - Street 2:SUITE#1
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3492
Mailing Address - Country:US
Mailing Address - Phone:313-274-8900
Mailing Address - Fax:313-274-8904
Practice Address - Street 1:2841 MONROE ST
Practice Address - Street 2:SUITE#1
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3492
Practice Address - Country:US
Practice Address - Phone:313-274-8900
Practice Address - Fax:313-274-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M12680Medicare ID - Type Unspecified