Healthcare Provider Details
I. General information
NPI: 1881626596
Provider Name (Legal Business Name): ANDREA A HAYES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2006
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2041 GEORGIA AVE NW STE 4000
WASHINGTON DC
20060-4221
US
IV. Provider business mailing address
2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US
V. Phone/Fax
- Phone: 202-865-3785
- Fax:
- Phone: 202-865-6679
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0120X |
| Taxonomy | Pediatric Surgery Physician |
| License Number | MD210001766 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | MD210001766 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: