Provider Demographics
NPI:1366456881
Name:ANDREW, HEND F (MD)
Entity Type:Individual
Prefix:
First Name:HEND
Middle Name:F
Last Name:ANDREW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEND
Other - Middle Name:
Other - Last Name:ABDELMALEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11178 STATE ROAD 54 STE A
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2266
Mailing Address - Country:US
Mailing Address - Phone:727-372-4200
Mailing Address - Fax:
Practice Address - Street 1:11178 STATE ROAD 54 STE A
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2266
Practice Address - Country:US
Practice Address - Phone:727-372-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK33744207Q00000X
FLME93970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME93970OtherMEDICAL LICENSE
FL275724900Medicaid
FL54260OtherBLUE CROSS BLUE SHIELD
FLU8134YMedicare PIN
FL275724900Medicaid