Basic Information
Provider Information
NPI: 1033558374
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINHA
FirstName: GARIMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1214 CHESTNUT ST APT 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074836
CountryCode: US
TelephoneNumber: 4126137837
FaxNumber:  
Practice Location
Address1: 2338 N FRONT ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191333716
CountryCode: US
TelephoneNumber: 2678869474
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2013
LastUpdateDate: 03/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000XDS039729PAY Dental ProvidersDentist 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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