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NPI Code Detail

MEDICARE: DR. RICHARD MICHAEL HAYDEL M.D.

MEDICARE: DR. RICHARD MICHAEL HAYDEL M.D.
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
1207Q00000XFamily Medicine Physician10882LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578658555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD MICHAEL HAYDEL M.D.
Provider Business Mailing Address
First Line : 502 BARROW ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-4606
Country : US
Telephone Number : 985-876-2150
Fax Number : 985-876-7413
Provider Business Practice Location Address
First Line : 502 BARROW ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-4606
Country : US
Telephone Number : 985-876-2150
Fax Number : 985-876-7413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/27/2008

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