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General NPI Number Information
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NPI Number | 1255497822
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Entity Type | Individual
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Provider Name | SAMIR MAYEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1220 MISSOURI AVE
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3725
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Country | US
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Telephone | 502-713-8714
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22787
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City | LOUISVILLE
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State | KY
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Zip | 40252-0787
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Country | US
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Telephone | 859-814-1486
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 39848
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 39848
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License Number State | KY
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