Provider Demographics
NPI:1689213704
Name:KAVITA SINHA, MD, INC.
Entity Type:Organization
Organization Name:KAVITA SINHA, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-218-8396
Mailing Address - Street 1:3151 AIRWAY AVE STE K220
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4636
Mailing Address - Country:US
Mailing Address - Phone:760-218-8396
Mailing Address - Fax:
Practice Address - Street 1:3151 AIRWAY AVE STE K220
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4636
Practice Address - Country:US
Practice Address - Phone:760-218-8396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty