Provider Demographics
NPI:1164890083
Name:UNAIZA HAYAT, MD INC
Entity Type:Organization
Organization Name:UNAIZA HAYAT, MD INC
Other - Org Name:AVECINIA WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAQUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-323-4990
Mailing Address - Street 1:2006 SHAW AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-4192
Mailing Address - Country:US
Mailing Address - Phone:559-324-9900
Mailing Address - Fax:559-324-9902
Practice Address - Street 1:2006 SHAW AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-4192
Practice Address - Country:US
Practice Address - Phone:559-324-9900
Practice Address - Fax:559-324-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC54515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA140163OtherMEDICARE PTAN