Provider Demographics
NPI:1306441662
Name:SINDHU, MAHAM KHALID
Entity type:Individual
Prefix:MS
First Name:MAHAM
Middle Name:KHALID
Last Name:SINDHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4646
Mailing Address - Country:US
Mailing Address - Phone:716-949-2685
Mailing Address - Fax:
Practice Address - Street 1:405 WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4646
Practice Address - Country:US
Practice Address - Phone:716-949-2685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY690590367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered