Provider Demographics
NPI:1508206335
Name:HINDUJA, LATIKA (DPM)
Entity Type:Individual
Prefix:DR
First Name:LATIKA
Middle Name:
Last Name:HINDUJA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3143
Mailing Address - Country:US
Mailing Address - Phone:724-775-6168
Mailing Address - Fax:724-775-2633
Practice Address - Street 1:3578 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3143
Practice Address - Country:US
Practice Address - Phone:724-775-6168
Practice Address - Fax:724-775-2633
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006715213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA507832D3ZMedicare PIN