Healthcare Provider Details

I. General information

NPI: 1760168371
Provider Name (Legal Business Name): MALIK HINDAWI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 PLYMOUTH RD
ANN ARBOR MI
48109-2700
US

IV. Provider business mailing address

169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC 333
CHARLESTON SC
29425-8721
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-2381
  • Fax:
Mailing address:
  • Phone: 843-792-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4351055545
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: