Provider Demographics
NPI:1568651255
Name:SINT, NOEL SHANTI
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:SHANTI
Last Name:SINT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 3RD AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2719
Mailing Address - Country:US
Mailing Address - Phone:415-731-1945
Mailing Address - Fax:
Practice Address - Street 1:1338 3RD AVE
Practice Address - Street 2:APT 1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2719
Practice Address - Country:US
Practice Address - Phone:415-731-1945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program