Basic Information
Provider Information
NPI: 1245276633
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HINEDI
FirstName: KAREEM
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4535 DRESSLER RD NW
Address2:  
City: CANTON
State: OH
PostalCode: 447182545
CountryCode: US
TelephoneNumber: 7038290714
FaxNumber: 4122568591
Practice Location
Address1: 835 HOSPITAL RD
Address2:  
City: INDIANA
State: PA
PostalCode: 157013629
CountryCode: US
TelephoneNumber: 7243577000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2006
LastUpdateDate: 02/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD467675PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD25531ORN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XD89332MDN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X35.141341OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X0101265747VAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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