Provider Demographics
NPI:1962432005
Name:HYATT, PATRICK AARON (MD)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:AARON
Last Name:HYATT
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 1:301 ST. PAUL PLACE, POB SUITE #718
Mailing Address - Street 2:INSTITUTE FOR DEGESTIVE HEALTH & LIVER DISEASE, MERCY M
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202
Mailing Address - Country:US
Mailing Address - Phone:410-332-9356
Mailing Address - Fax:410-783-5884
Practice Address - Street 1:301 ST. PAUL PLACE, POB SUITE # 718
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-332-9356
Practice Address - Fax:410-783-5884
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064196174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist