Provider Demographics
NPI:1972806487
Name:HOPE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:HOPE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-814-1486
Mailing Address - Street 1:PO BOX 22787
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40252-0787
Mailing Address - Country:US
Mailing Address - Phone:859-567-1506
Mailing Address - Fax:440-332-3844
Practice Address - Street 1:10123 SPRING GATE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6127
Practice Address - Country:US
Practice Address - Phone:859-814-1486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty