Provider Demographics
NPI:1457368060
Name:HINDIN, GARY (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:HINDIN
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:PO BOX 198106
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8106
Mailing Address - Country:US
Mailing Address - Phone:866-904-1230
Mailing Address - Fax:
Practice Address - Street 1:2120 NW 107TH TER
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3418
Practice Address - Country:US
Practice Address - Phone:954-741-0636
Practice Address - Fax:954-741-0639
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61299207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372350000Medicaid
FL14992Medicare ID - Type Unspecified
FL372350000Medicaid