Provider Demographics
NPI:1447412069
Name:HAYES, SHELBI RENEE (MD)
Entity Type:Individual
Prefix:
First Name:SHELBI
Middle Name:RENEE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 MIDTOWN PLACE
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5266
Mailing Address - Country:US
Mailing Address - Phone:405-280-7546
Mailing Address - Fax:405-772-8674
Practice Address - Street 1:1622 MIDTOWN PLACE
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130
Practice Address - Country:US
Practice Address - Phone:405-280-7546
Practice Address - Fax:405-772-8674
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28831207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology