Healthcare Provider Details

I. General information

NPI: 1801879085
Provider Name (Legal Business Name): VIKTOR V HINOV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PIT RD
BROWNSBURG IN
46112-7830
US

IV. Provider business mailing address

11214 SIGMOND CIR
FISHERS IN
46038-4640
US

V. Phone/Fax

Practice location:
  • Phone: 317-456-1100
  • Fax: 317-456-1196
Mailing address:
  • Phone: 317-594-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01060146A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: