Provider Demographics
NPI:1174280168
Name:MEGALLY, HAYAM (BDS, MS, MPH)
Entity Type:Individual
Prefix:
First Name:HAYAM
Middle Name:
Last Name:MEGALLY
Suffix:
Gender:F
Credentials:BDS, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSF DENTAL CENTER 707 PARNASSUS AVENUE, D3232
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-0075
Mailing Address - Country:US
Mailing Address - Phone:415-514-0476
Mailing Address - Fax:
Practice Address - Street 1:UCSF DENTAL CENTER 707 PARNASSUS AVENUE, D3232
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-0075
Practice Address - Country:US
Practice Address - Phone:415-514-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program