Individual
DR. RICHARD EDWARD HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-1772
(317) 988-5351
Mailing address
PO BOX 358, TIPTON, IN 46072-0358
(765) 675-8259
(765) 675-8527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054707A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572680
ANTHEM
IN
05
—
200348410
—
IN
Enumeration date
11/07/2005
Last updated
11/17/2022
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