Provider Demographics
NPI:1598980906
Name:SUMAN K SINHA MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SUMAN K SINHA MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-589-9158
Mailing Address - Street 1:8851 CENTER DR
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6006
Mailing Address - Country:US
Mailing Address - Phone:619-589-9158
Mailing Address - Fax:619-462-0371
Practice Address - Street 1:8851 CENTER DR
Practice Address - Street 2:SUITE 307
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3017
Practice Address - Country:US
Practice Address - Phone:619-589-9158
Practice Address - Fax:619-462-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79638174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty