Provider Demographics
NPI:1518120500
Name:IJAOLA, HOPE (MD)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:IJAOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 E PECOS RD
Mailing Address - Street 2:SUITE 326
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-3200
Mailing Address - Country:US
Mailing Address - Phone:480-745-3702
Mailing Address - Fax:480-745-3709
Practice Address - Street 1:1760E PECOS RD 326
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-3208
Practice Address - Country:US
Practice Address - Phone:480-745-3702
Practice Address - Fax:480-745-3709
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine