Basic Information
| Provider Information | |||||||||
| NPI: | 1851738793 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DE HAYDU | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8200 SW 117TH AVE STE 304 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331834826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052265651 | ||||||||
| FaxNumber: | 3052262424 | ||||||||
| Practice Location | |||||||||
| Address1: | 8200 SW 117TH AVE STE 304 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331834826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052265651 | ||||||||
| FaxNumber: | 3052262244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2013 | ||||||||
| LastUpdateDate: | 11/10/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207VX0201X | ME132369 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
No ID Information.