Provider Demographics
NPI:1023172053
Name:SINDWANI, TINA S (MD)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:S
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 1:17 W 24TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3398
Mailing Address - Country:US
Mailing Address - Phone:646-819-5100
Mailing Address - Fax:646-819-5100
Practice Address - Street 1:17 W 24TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3398
Practice Address - Country:US
Practice Address - Phone:646-820-7101
Practice Address - Fax:646-809-4665
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY222036OtherLICENSE
NY222036OtherLICENSE
AZ36309OtherAZ STATE LICENSE