Provider Demographics
NPI:1114995990
Name:HAYOSTEK, CHERIE JEAN (MD)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:JEAN
Last Name:HAYOSTEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:JEAN
Other - Last Name:LINDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:933 BRADBURY DR SE STE 2222
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4375
Mailing Address - Country:US
Mailing Address - Phone:505-272-1320
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:MSC07-4025, 1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-5141
Practice Address - Country:US
Practice Address - Phone:505-272-4946
Practice Address - Fax:505-925-0100
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2005-04882085R0001X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM62908731Medicaid
NMNMA100948Medicare PIN
NM62908731Medicaid