Individual
ROBERT HAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17321 STATE ROAD 23, SOUTH BEND, IN 46635-1531
(574) 335-8400
(574) 335-0796
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070465A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01070465A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
35.122326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000933138
BCBS
IN
05
—
201104820
—
IN
01
—
P01504486
RR MEDICARE
IN
Enumeration date
06/11/2010
Last updated
09/14/2016
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