Provider Demographics
NPI:1376736686
Name:AL-HAYEK, SHADY NEEMATALLAH (MD)
Entity Type:Individual
Prefix:
First Name:SHADY
Middle Name:NEEMATALLAH
Last Name:AL-HAYEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHADY
Other - Middle Name:
Other - Last Name:HAYEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2196
Mailing Address - Fax:319-356-7850
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2196
Practice Address - Fax:319-356-7850
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IASP-02552082S0105X, 208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery