Provider Demographics
NPI:1538181458
Name:HINDAWI, AREF I (MD)
Entity type:Individual
Prefix:
First Name:AREF
Middle Name:I
Last Name:HINDAWI
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 1:23600 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1445
Mailing Address - Country:US
Mailing Address - Phone:586-443-4940
Mailing Address - Fax:586-443-4945
Practice Address - Street 1:23600 HARPER
Practice Address - Street 2:SUITE 102
Practice Address - City:ST CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080
Practice Address - Country:US
Practice Address - Phone:586-443-4940
Practice Address - Fax:586-443-4945
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH062013207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1105013781OtherBLUE CROSS
MI0N87530Medicare PIN