Provider Demographics
NPI:1063874113
Name:HAYEK, GALEN B (DO)
Entity type:Individual
Prefix:
First Name:GALEN
Middle Name:B
Last Name:HAYEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 GRANVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1043
Mailing Address - Country:US
Mailing Address - Phone:740-785-4678
Mailing Address - Fax:614-392-4636
Practice Address - Street 1:1800 GRANVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1043
Practice Address - Country:US
Practice Address - Phone:740-785-4678
Practice Address - Fax:614-392-4636
Is Sole Proprietor?:No
Enumeration Date:2016-03-27
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013319208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist