Provider Demographics
NPI:1134184328
Name:SINHA, RAVI NANDAN (MD)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:NANDAN
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:85 HIGH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1149
Practice Address - Country:US
Practice Address - Phone:716-857-8770
Practice Address - Fax:716-250-5968
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199136207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherEMPIRE
NY000526081005OtherHEALTH NOW
NY02067816Medicaid
NY00025087505OtherUNIVERA
NY2589275OtherGHI
NY0491510OtherIHA
NY199136-3WOtherWORKERS COMPENSATION
NY161000580OtherNORTH AMERICAN PREFERRED
NY2591224OtherNOVA
NY2589275OtherGHI
NYRB0098Medicare PIN