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Individual

DR. OSAMA S. HINDASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 MACY DR, ROSWELL, GA 30076-6333
(678) 799-9277
(678) 795-9709
Mailing address
801 MACY DR, ROSWELL, GA 30076-6333
(678) 799-9277
(678) 795-9709

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035652
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209235687A
GA
01
300766339
MAGELLAN
GA
01
3503338
AETNA
GA
01
52624445 006
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/05/2006
Last updated
09/09/2010
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