Provider Demographics
NPI:1235163981
Name:HAYAT, MUHAMMAD S (MD, MHA)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:S
Last Name:HAYAT
Suffix:
Gender:M
Credentials:MD, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7707
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758-7707
Mailing Address - Country:US
Mailing Address - Phone:617-797-6307
Mailing Address - Fax:727-399-6866
Practice Address - Street 1:16442 TURNBURY OAK DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-2896
Practice Address - Country:US
Practice Address - Phone:727-572-5449
Practice Address - Fax:727-657-1100
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 108600207R00000X
MA228085207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3897900Medicaid
FLEP952XMedicare PIN