MEDICARE: DR. YOUSEF HINDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	055372	GA
2	208M00000X	Hospitalist Physician	55372	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11SCGLV	OTHER	GA	MEDICARE PIN
3	11SCHNQ	OTHER	GA	MEDICARE PIN
5	P00412395	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023099272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOUSEF HINDI MD

Provider Business Mailing Address
First Line	:	3950 AUSTELL RD
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-1121
Country	:	US
Telephone Number	:	770-732-4025
Fax Number	:	770-732-4023

Provider Business Practice Location Address
First Line	:	3950 AUSTELL RD
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-1121
Country	:	US
Telephone Number	:	770-732-4025
Fax Number	:	770-732-4023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	09/26/2019

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Directions to “ DR. YOUSEF HINDI MD” Practice Location

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