Provider Demographics
NPI:1184035065
Name:HAYAMI, DOUGLAS A (MD)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:A
Last Name:HAYAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PARNASUS AVE BOX 0124
Mailing Address - Street 2:C/O SUSAN VERDE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0124
Mailing Address - Country:US
Mailing Address - Phone:415-502-1115
Mailing Address - Fax:415-502-8943
Practice Address - Street 1:505 PARNASUS AVE BOX 0124
Practice Address - Street 2:C/O SUSAN VERDE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0124
Practice Address - Country:US
Practice Address - Phone:415-502-1115
Practice Address - Fax:415-502-8943
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program