Provider Demographics
NPI:1669548335
Name:HINDS, ILNEZ B (MD)
Entity type:Individual
Prefix:DR
First Name:ILNEZ
Middle Name:B
Last Name:HINDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10915 JARBOE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1420
Mailing Address - Country:US
Mailing Address - Phone:301-681-7491
Mailing Address - Fax:
Practice Address - Street 1:1201 FRANKLIN ST NE
Practice Address - Street 2:SUITE 102
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2404
Practice Address - Country:US
Practice Address - Phone:202-526-8100
Practice Address - Fax:202-526-1165
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD25496208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC07358OtherAMERIGROUP
DC10118OtherDC CHARTERED
DCAETNAOther06544
DC8553-0001OtherBLUE CROSS BLUE SHIELD
DCCIGNAOther3826795
DC871217OtherMAMSI
DC07358OtherAMERIGROUP