Provider Demographics
NPI:1265616411
Name:U K SINHA, M.D., S.C.
Entity type:Organization
Organization Name:U K SINHA, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UPENDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-672-2829
Mailing Address - Street 1:205 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:STREATOR
Mailing Address - State:IL
Mailing Address - Zip Code:61364-4448
Mailing Address - Country:US
Mailing Address - Phone:815-672-2829
Mailing Address - Fax:
Practice Address - Street 1:205 S PARK ST
Practice Address - Street 2:
Practice Address - City:STREATOR
Practice Address - State:IL
Practice Address - Zip Code:61364-4448
Practice Address - Country:US
Practice Address - Phone:815-672-2829
Practice Address - Fax:815-672-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059506207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036059506Medicaid
IL0749640001Medicare NSC
ILD93799Medicare UPIN
IL036059506Medicaid