Provider Demographics
NPI:1073675641
Name:SINHA, ASHOK KUMAR (DO)
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:KUMAR
Last Name:SINHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 BUFORD DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3725
Mailing Address - Country:US
Mailing Address - Phone:770-277-5456
Mailing Address - Fax:
Practice Address - Street 1:1569 BUFORD DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3725
Practice Address - Country:US
Practice Address - Phone:770-277-5456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033706207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
08LCCGFMedicare ID - Type Unspecified
E71796Medicare UPIN