Provider Demographics
NPI:1801879085
Name:HINOV, VIKTOR V (MD)
Entity type:Individual
Prefix:
First Name:VIKTOR
Middle Name:V
Last Name:HINOV
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 1:11214 SIGMOND CIR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4640
Mailing Address - Country:US
Mailing Address - Phone:317-594-5201
Mailing Address - Fax:
Practice Address - Street 1:11214 SIGMOND CIR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-4640
Practice Address - Country:US
Practice Address - Phone:317-594-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060146A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200108120Medicaid
IN000000581152OtherANTHEM
INP01456884OtherRR MEDICARE
IN214210GMedicare PIN
INM400038455Medicare PIN
INP01456884OtherRR MEDICARE
IN000000581152OtherANTHEM