Provider Demographics
NPI:1679985105
Name:HAYOUN, MICHAEL (MD, MPHIL)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:HAYOUN
Suffix:
Gender:M
Credentials:MD, MPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE 310
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2523
Mailing Address - Country:US
Mailing Address - Phone:615-645-3013
Mailing Address - Fax:615-621-3158
Practice Address - Street 1:3443 DICKERSON PIKE STE 310
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2523
Practice Address - Country:US
Practice Address - Phone:615-645-3013
Practice Address - Fax:615-621-3158
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT206041207P00000X
TN60714207P00000X, 207PT0002X
CAA154633207P00000X, 207PT0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA154633Medicaid
TN60714Medicaid
PAMT206041Medicaid