Healthcare Provider Details

I. General information

NPI: 1841679768
Provider Name (Legal Business Name): VIVEK SINDHI MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 HOSPITAL DR STE 108
GLEN BURNIE MD
21061-5806
US

IV. Provider business mailing address

325 HOSPITAL DR STE 108
GLEN BURNIE MD
21061-5806
US

V. Phone/Fax

Practice location:
  • Phone: 240-678-7309
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number82481
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number82481
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberD89558
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: