Provider Demographics
NPI:1437159043
Name:SINAPI, KERRILENE E (DO)
Entity Type:Individual
Prefix:DR
First Name:KERRILENE
Middle Name:E
Last Name:SINAPI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CHAPEL ST.
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-789-5946
Mailing Address - Fax:203-867-5287
Practice Address - Street 1:1450 CHAPEL ST.
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-789-3469
Practice Address - Fax:203-867-5287
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400976207P00000X
RIDO01072207P00000X
CT047585207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC137F9OtherBCBS OF NC GROUP # 015CK
NC89137F9Medicaid
NC2402079Medicare ID - Type UnspecifiedGROUP #2336501
NC89137F9Medicaid