Provider Demographics
NPI:1427213826
Name:SINHA, NEIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:K
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:51 GORDON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-7104
Mailing Address - Country:US
Mailing Address - Phone:706-692-9768
Mailing Address - Fax:706-692-4040
Practice Address - Street 1:460 NORTHSIDE CHEROKEE BLVD STE 370
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8020
Practice Address - Country:US
Practice Address - Phone:678-880-7021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA65183208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65183OtherLICENSE
GA003186660BMedicaid
GA65183OtherLICENSE