Provider Demographics
NPI:1255204251
Name:HEADACHE AND MIGRAINE MEDICAL OF UTAH, P.C.
Entity type:Organization
Organization Name:HEADACHE AND MIGRAINE MEDICAL OF UTAH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDIYEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-444-7399
Mailing Address - Street 1:10 W BROADWAY FL 7
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2060
Mailing Address - Country:US
Mailing Address - Phone:424-444-7399
Mailing Address - Fax:424-253-0814
Practice Address - Street 1:10 W BROADWAY FL 7
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-2060
Practice Address - Country:US
Practice Address - Phone:424-444-7399
Practice Address - Fax:424-253-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty