Healthcare Provider Details

I. General information

NPI: 1760944862
Provider Name (Legal Business Name): HAYES PATRICK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 04/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

6855 COLBERT ST
NEW ORLEANS LA
70124-2309
US

V. Phone/Fax

Practice location:
  • Phone: 225-341-0137
  • Fax:
Mailing address:
  • Phone: 225-341-0137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: