Provider Demographics
NPI:1194910158
Name:HOPE WEST P.C.
Entity type:Organization
Organization Name:HOPE WEST P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:NAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-481-8555
Mailing Address - Street 1:PO BOX 100845
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-0845
Mailing Address - Country:US
Mailing Address - Phone:205-481-8555
Mailing Address - Fax:205-481-8558
Practice Address - Street 1:985 9TH AVE SW
Practice Address - Street 2:SUITE 201
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4500
Practice Address - Country:US
Practice Address - Phone:205-481-8555
Practice Address - Fax:205-481-8558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL253372084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI30339Medicare UPIN