Provider Demographics
NPI:1437306032
Name:HINDI, AMMAR M (MD)
Entity type:Individual
Prefix:DR
First Name:AMMAR
Middle Name:M
Last Name:HINDI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:71 HONEYFLOWER
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3327
Practice Address - Country:US
Practice Address - Phone:952-595-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1189702085R0202X
OH35.0995372085R0202X
TXP59912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH204881619259OtherCARESOURCE
OH0067173Medicaid
OH000000773808OtherANTHEM
OH9657892OtherAETNA
OH35.099537OtherLICENSE
OHP01103754OtherRAILROAD MEDICARE
OHH101970Medicare PIN