Provider Demographics
NPI:1912139940
Name:EL HAYEK, MIREILLE (MD)
Entity Type:Individual
Prefix:
First Name:MIREILLE
Middle Name:
Last Name:EL HAYEK
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 1:2315 DOUGHERTY FERRY ROAD
Mailing Address - Street 2:SUITE 109B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3383
Mailing Address - Country:US
Mailing Address - Phone:314-965-9133
Mailing Address - Fax:314-984-2793
Practice Address - Street 1:2315 DOUGHERTY FERRY ROAD
Practice Address - Street 2:SUITE 109B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-3383
Practice Address - Country:US
Practice Address - Phone:314-965-9133
Practice Address - Fax:314-984-2793
Is Sole Proprietor?:No
Enumeration Date:2009-08-08
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015023837207RE0101X
IL036142174207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism