Provider Demographics
NPI:1841721503
Name:HAYASAKA, ELANA (MD)
Entity type:Individual
Prefix:DR
First Name:ELANA
Middle Name:
Last Name:HAYASAKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 BOSTON MEDICAL CTR PL
Mailing Address - Street 2:DOWLING 1 SOUTH - ROOM 1322
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-4929
Mailing Address - Fax:617-414-7759
Practice Address - Street 1:1 BOSTON MEDICAL CTR PL
Practice Address - Street 2:DOWLING 1 SOUTH - ROOM 1322
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2908
Practice Address - Country:US
Practice Address - Phone:617-414-4929
Practice Address - Fax:617-414-7759
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA271413207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine