Provider Demographics
NPI:1598914384
Name:HAYS, CHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:HAYS
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 1:7000 N 16TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5548
Mailing Address - Country:US
Mailing Address - Phone:602-567-1901
Mailing Address - Fax:425-637-3271
Practice Address - Street 1:7000 N 16TH ST STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5548
Practice Address - Country:US
Practice Address - Phone:602-567-1901
Practice Address - Fax:602-567-4190
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104387207Q00000X
WAMD60644231207Q00000X
AZ43757207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2060006Medicaid
WAG8952761Medicare PIN