MEDICARE: DR. EVELYN K HAYES 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
1	207V00000X	Obstetrics & Gynecology Physician	12279	LA

General Provider Information

NPI Number	:	1770583130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELYN K HAYES M.D.

Provider Business Mailing Address
First Line	:	800 N CAUSEWAY BLVD
Second Line	:	SUITE 2C
City	:	MANDEVILLE
State	:	LA
Zip	:	70448-4664
Country	:	US
Telephone Number	:	985-892-7621
Fax Number	:

Provider Business Practice Location Address
First Line	:	8595 PICARDY AVE
Second Line	:	SUITE 240
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3670
Country	:	US
Telephone Number	:	225-763-4800
Fax Number	:	225-763-4880

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

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