Provider Demographics
NPI:1487821542
Name:SINDHWANI, VIVEK (MD)
Entity type:Individual
Prefix:DR
First Name:VIVEK
Middle Name:
Last Name:SINDHWANI
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:P.O. BOX 11550
Mailing Address - Street 2:
Mailing Address - City:MIAMI, FL -
Mailing Address - State:FL
Mailing Address - Zip Code:33101-1550
Mailing Address - Country:US
Mailing Address - Phone:305-674-2680
Mailing Address - Fax:305-674-3919
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-674-2680
Practice Address - Fax:305-674-3919
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.0129392085D0003X
MO20090175132085R0202X
FLME1305132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO152360109Medicare PIN
MOP00731559Medicare PIN