Healthcare Provider Details

I. General information

NPI: 1518607415
Provider Name (Legal Business Name): HYTHAM AL-HINDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 LADUE RD STE 203
SAINT LOUIS MO
63124-2080
US

IV. Provider business mailing address

8820 LADUE RD STE 203
SAINT LOUIS MO
63124-2080
US

V. Phone/Fax

Practice location:
  • Phone: 314-367-1181
  • Fax:
Mailing address:
  • Phone: 314-367-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLL88006
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2026019188
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: