Provider Demographics
NPI:1619293305
Name:HYE MEDICAL LLC
Entity Type:Organization
Organization Name:HYE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ULVI
Authorized Official - Middle Name:TOFIK
Authorized Official - Last Name:MAMEDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-934-2291
Mailing Address - Street 1:PO BOX 11550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-0550
Mailing Address - Country:US
Mailing Address - Phone:267-934-2291
Mailing Address - Fax:
Practice Address - Street 1:2903 FRANKS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4214
Practice Address - Country:US
Practice Address - Phone:267-934-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA100073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport