Individual
DR. LINDIWEE-YAA RANDALL-HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7523
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(765) 741-1411
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01060215A
IN
207P00000X
Emergency Medicine Physician
Primary
036123561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358502
BLUE CROSS/BLUE SHIELD
IN
01
—
000000506228
ANTHEM
IN
05
—
200513430
—
IN
05
—
200513430A
—
IN
Enumeration date
07/20/2005
Last updated
09/19/2019
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