Provider Demographics
NPI:1538127162
Name:HEGYVARY, CSABA (MD)
Entity type:Individual
Prefix:DR
First Name:CSABA
Middle Name:
Last Name:HEGYVARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CSABA
Other - Middle Name:
Other - Last Name:HEGYVARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:901 BOREN
Mailing Address - Street 2:#1020
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3508
Mailing Address - Country:US
Mailing Address - Phone:206-624-0562
Mailing Address - Fax:206-624-1489
Practice Address - Street 1:901 BOREN
Practice Address - Street 2:#1020
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3508
Practice Address - Country:US
Practice Address - Phone:206-624-0562
Practice Address - Fax:206-624-1489
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000240922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1017532Medicaid
A06117Medicare UPIN
WA1017532Medicaid