Provider Demographics
NPI:1417069030
Name:SINHA, MIRA PARKHIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRA
Middle Name:PARKHIE
Last Name:SINHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3174 PACKARD ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1947
Mailing Address - Country:US
Mailing Address - Phone:734-971-1073
Mailing Address - Fax:734-971-8545
Practice Address - Street 1:3174 PACKARD ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1947
Practice Address - Country:US
Practice Address - Phone:734-971-1073
Practice Address - Fax:734-971-8545
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMS4301082738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH54294OtherHAP
MI0814160OtherBLUE CARE NETWORK
MI4731578Medicaid
MI0808141601OtherBCBS
MI16988OtherM-CARE
MI4731578Medicaid
MIH54294OtherHAP