Individual
SAMIR MAYEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3725
(502) 713-8714
Mailing address
PO BOX 22787, LOUISVILLE, KY 40252-0787
(859) 814-1486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39848
KY
208M00000X
Hospitalist Physician
39848
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620980
ANTHEM
KY
05
—
200934970
—
IN
05
—
64121627
—
KY
01
—
P00753610
MEDICARE RAILROAD PIN
KY
Enumeration date
12/28/2006
Last updated
03/10/2025
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