Healthcare Provider Details

I. General information

NPI: 1104521277
Provider Name (Legal Business Name): AMITA MILIND HINGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22151 MOROSS RD
DETROIT MI
48236-2167
US

IV. Provider business mailing address

26911 CEDAR RUN CT
WOODHAVEN MI
48183-4477
US

V. Phone/Fax

Practice location:
  • Phone: 313-343-4867
  • Fax: 313-343-3280
Mailing address:
  • Phone: 734-775-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351050961
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: