Provider Demographics
NPI:1144364670
Name:SINHA, RAMAN (DPM)
Entity type:Individual
Prefix:DR
First Name:RAMAN
Middle Name:
Last Name:SINHA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1407
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80306-1407
Mailing Address - Country:US
Mailing Address - Phone:720-213-8620
Mailing Address - Fax:720-223-6300
Practice Address - Street 1:11827 RIDGE PKWY
Practice Address - Street 2:SUITE 734
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-5080
Practice Address - Country:US
Practice Address - Phone:720-213-8620
Practice Address - Fax:720-223-6300
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1801213E00000X
MO2006039238213E00000X
KS12-00366213E00000X
COPOD-695213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00640661OtherRRM GROUP MEMBER PTAN #
CO96002841Medicaid
MOMA1124001Medicare PIN
KSKA1180001Medicare PIN