Provider Demographics
NPI:1215119672
Name:HOPE CANCER CLINIC PLLC
Entity type:Organization
Organization Name:HOPE CANCER CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARMESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-462-2990
Mailing Address - Street 1:14555 LEVAN ROAD, SUITE 110
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154
Mailing Address - Country:US
Mailing Address - Phone:734-462-2990
Mailing Address - Fax:734-462-3268
Practice Address - Street 1:14555 LEVAN RD STE 110
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5083
Practice Address - Country:US
Practice Address - Phone:734-462-2990
Practice Address - Fax:734-462-3268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055087261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG18242Medicare UPIN