MEDICARE: DR. SULTAN A HAYAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	036065513	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	06065636	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	371386990	OTHER		GREAT WEST
2	2276V43658	OTHER		GHP
3	4000441	OTHER	MO	AETNA PPO
5	2507046	OTHER		UHC
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8232003	OTHER	IL	BCBS IL
9	371386990	OTHER		HUMANA
10	45523	OTHER		UHC GENCARE
11	98322	OTHER		HEALTH PARTNERS
12	100639	OTHER		HEALTHLINK
13	2600834	OTHER	MO	AETNA HMO
14	0973882-003	OTHER		CIGNA
15	2808	OTHER	MO	BCBS MO
16	C42399	OTHER		MERCY
17	L025925	OTHER		TRICARE

General Provider Information

NPI Number	:	1548248453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SULTAN A HAYAT MD

Provider Business Mailing Address
First Line	:	4600 MEMORIAL DR STE W1
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5359
Country	:	US
Telephone Number	:	618-233-3066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 MEMORIAL DR STE W1
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5359
Country	:	US
Telephone Number	:	618-233-3066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	02/26/2021

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Directions to “ DR. SULTAN A HAYAT MD” Practice Location

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