Provider Demographics
NPI:1194902130
Name:HAYES, ALIYA SAKINAH (MD)
Entity type:Individual
Prefix:DR
First Name:ALIYA
Middle Name:SAKINAH
Last Name:HAYES
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:P.O. BOX 64131
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4131
Mailing Address - Country:US
Mailing Address - Phone:410-571-7880
Mailing Address - Fax:410-571-0362
Practice Address - Street 1:3333 BAYSHORE BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1952
Practice Address - Country:US
Practice Address - Phone:713-840-5190
Practice Address - Fax:713-944-3839
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002071207R00000X
TXN9714207RE0101X
MDD74549207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KDYAN97733701OtherCAREFIRST MARYLAND
MD447812600Medicaid
G4810009OtherCAREFIRST FEDERAL
MD447812600Medicaid
KDYAN97733701OtherCAREFIRST MARYLAND