Provider Demographics
NPI:1457442345
Name:HINDI, MUSA A (MD)
Entity Type:Individual
Prefix:MR
First Name:MUSA
Middle Name:A
Last Name:HINDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 SYCAMORE RD
Mailing Address - Street 2:STE 2A
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754
Mailing Address - Country:US
Mailing Address - Phone:570-323-6105
Mailing Address - Fax:570-323-4820
Practice Address - Street 1:1601 SYCAMORE RD
Practice Address - Street 2:STE 2A
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754
Practice Address - Country:US
Practice Address - Phone:570-323-6105
Practice Address - Fax:570-323-4820
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038984E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010903520003Medicaid
PA0010903520003Medicaid
B40970Medicare UPIN