Provider Demographics
NPI:1750269155
Name:ANGAJALA, HANUMAN KUMAR
Entity type:Individual
Prefix:
First Name:HANUMAN KUMAR
Middle Name:
Last Name:ANGAJALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 CLARENDON PL
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-3626
Mailing Address - Country:US
Mailing Address - Phone:617-861-3311
Mailing Address - Fax:
Practice Address - Street 1:123 CLARENDON PL
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3626
Practice Address - Country:US
Practice Address - Phone:617-861-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies