Provider Demographics
NPI:1558921643
Name:SINDHAR, SAMPAT (MD)
Entity type:Individual
Prefix:
First Name:SAMPAT
Middle Name:
Last Name:SINDHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 TALBOT RD S STE 210
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5791
Mailing Address - Country:US
Mailing Address - Phone:425-690-3602
Mailing Address - Fax:425-690-9602
Practice Address - Street 1:4011 TALBOT RD S STE 210
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5791
Practice Address - Country:US
Practice Address - Phone:425-690-3602
Practice Address - Fax:425-690-9602
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61542853207Y00000X
MO2019018215207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2021036996OtherMISSOURI STATE BOARD OF HEALING