Doctor Name: | DR. DAISHA AYANA HAYDEN |
NPI Number: | 1871822544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | N4463 |
Business Practice Address: | 4300 Alton Rd Miami Beach, FL - 331402948 |
Business Phone Number: | 3056742121 |
Business Fax Number: | |
Mailing Address: | 133 Ne 2nd Ave, #417 MIAMI |
State: | FL |
Postal Code: | 331322904 |
Phone Number: | 3144402739 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | N4463 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |