Individual
DR. THOMAS Z HAYWARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, 2ND FLOOR, RM 431, INDIANAPOLIS, IN 46202-5166
(317) 880-5049
(317) 880-0414
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01060243A
IN
2086S0102X
Surgical Critical Care Physician
Primary
01060243A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386151
ANTHEM PIN
IN
01
—
000000617710
ANTHEM PIN
IN
05
—
200177170
—
IN
Enumeration date
05/03/2006
Last updated
03/31/2015
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