Healthcare Provider Details

I. General information

NPI: 1366176554
Provider Name (Legal Business Name): NEW HOPE MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E GARRISON BLVD
GASTONIA NC
28054-4472
US

IV. Provider business mailing address

220 CATTLE RIDGE RD
WAXHAW NC
28173-6843
US

V. Phone/Fax

Practice location:
  • Phone: 704-854-9595
  • Fax: 704-852-4488
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JITENDRA K PATEL
Title or Position: PRESIDENT/MANAGING MEMBER
Credential: MD
Phone: 980-202-1751