Provider Demographics
NPI:1578636981
Name:HAYASHI, JOE T (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:T
Last Name:HAYASHI
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 1:14300 W GRANITE VALLEY DR
Mailing Address - Street 2:STE D18
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5783
Mailing Address - Country:US
Mailing Address - Phone:623-546-6535
Mailing Address - Fax:623-546-6824
Practice Address - Street 1:14300 W GRANITE VALLEY DR
Practice Address - Street 2:STE D18
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5783
Practice Address - Country:US
Practice Address - Phone:623-546-6535
Practice Address - Fax:623-546-6824
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12865207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ297285Medicaid
AZD36998Medicare UPIN
AZ297285Medicaid
AZZ71076Medicare PIN