Provider Demographics
NPI:1770501272
Name:HAYEK, SALIM M (MD)
Entity Type:Individual
Prefix:
First Name:SALIM
Middle Name:M
Last Name:HAYEK
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 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-071265207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000211447OtherUNISON
OH5776766OtherAETNA
OH0583328OtherBCMH
OH731413OtherBUCKEYE MEDICAID
OH2024071Medicaid
OH000000503651OtherANTHEM
OHP00385117OtherRAILROAD MEDICARE
PA0019258180003Medicaid
OH363620OtherWELLCARE MEDICAID
OHHA0860636Medicare PIN
OH000000211447OtherUNISON
OH000000503651OtherANTHEM