Healthcare Provider Details

I. General information

NPI: 1538127162
Provider Name (Legal Business Name): CSABA HEGYVARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CSABA HEGYVARY MD

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 BOREN #1020
SEATTLE WA
98104-3508
US

IV. Provider business mailing address

901 BOREN #1020
SEATTLE WA
98104-3508
US

V. Phone/Fax

Practice location:
  • Phone: 206-624-0562
  • Fax: 206-624-1489
Mailing address:
  • Phone: 206-624-0562
  • Fax: 206-624-1489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00024092
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: