Provider Demographics
NPI:1689394686
Name:P SINAI MD
Entity Type:Organization
Organization Name:P SINAI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-679-7343
Mailing Address - Street 1:16661 VENTURA BLVD STE 515
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1972
Mailing Address - Country:US
Mailing Address - Phone:818-990-4030
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD STE 515
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1972
Practice Address - Country:US
Practice Address - Phone:818-990-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports MedicineGroup - Single Specialty