Provider Demographics
NPI:1306887997
Name:SINHA, GOPAL K (MD)
Entity type:Individual
Prefix:DR
First Name:GOPAL
Middle Name:K
Last Name:SINHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 ETHEL RD
Mailing Address - Street 2:206C
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2839
Mailing Address - Country:US
Mailing Address - Phone:732-650-0009
Mailing Address - Fax:732-650-1976
Practice Address - Street 1:2 ETHEL RD
Practice Address - Street 2:206C
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2839
Practice Address - Country:US
Practice Address - Phone:732-650-0009
Practice Address - Fax:732-650-1976
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA027470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC56172Medicare UPIN