Provider Demographics
NPI:1538226766
Name:EMIL HAYEK MD, INC
Entity type:Organization
Organization Name:EMIL HAYEK MD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-342-0806
Mailing Address - Street 1:PO BOX 77045
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0015
Mailing Address - Country:US
Mailing Address - Phone:330-342-0806
Mailing Address - Fax:330-342-0819
Practice Address - Street 1:1335 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4432
Practice Address - Country:US
Practice Address - Phone:330-342-0806
Practice Address - Fax:330-342-0819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077409207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDF6059OtherRAILROAD MEDICARE
OHDF6059OtherRAILROAD MEDICARE