MEDICARE: MARY HAYMAN 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	208000000X	Pediatrics Physician	01064918A	IN

General Provider Information

NPI Number	:	1801813605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HAYMAN MD

Provider Business Mailing Address
First Line	:	1701 SPRING ST
Second Line	:	SUITE A.
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-2930
Country	:	US
Telephone Number	:	812-282-1367
Fax Number	:	812-284-8377

Provider Business Practice Location Address
First Line	:	1701 SPRING ST
Second Line	:	SUITE A.
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-2930
Country	:	US
Telephone Number	:	812-282-1367
Fax Number	:	812-284-8377

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

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	04/01/2008

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