Provider Demographics
NPI:1013936970
Name:SINDWANI, ASHA (MD)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:SINDWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-1302
Practice Address - Country:US
Practice Address - Phone:413-370-8209
Practice Address - Fax:413-370-8591
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA40899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
040899OtherTUFTS COMMUNITY HEALTH PL
B73480Medicare UPIN
201202OtherHARVARD PILGRIM
J14607OtherBLUE CROSS BLUE SHIELD
44847OtherFALLON COMMUNITY HEALTH P
J14607Medicare ID - Type Unspecified
MA2080672Medicaid
984982OtherNETWORK HEALTH
101972OtherCIGNA
370007005OtherRAILROAD MEDICARE
340090OtherHEALTHSOURCE CMHC
1200876OtherUNITED HEALTH CARE
792251OtherCONNECTICARE