Provider Demographics
NPI:1336384064
Name:SMITH, HOPE C (MD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:C
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8255 W 88TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1119
Mailing Address - Country:US
Mailing Address - Phone:317-873-5904
Mailing Address - Fax:317-873-9423
Practice Address - Street 1:8255 W 88TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1119
Practice Address - Country:US
Practice Address - Phone:317-873-5904
Practice Address - Fax:317-873-9423
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026738A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine