Provider Demographics
NPI:1497816821
Name:ANDREW, HYGIN T (MD)
Entity Type:Individual
Prefix:
First Name:HYGIN
Middle Name:T
Last Name:ANDREW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 N FRESNO ST
Mailing Address - Street 2:STE #101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710
Mailing Address - Country:US
Mailing Address - Phone:559-436-1444
Mailing Address - Fax:559-436-4395
Practice Address - Street 1:6335 N FRESNO ST
Practice Address - Street 2:STE #101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710
Practice Address - Country:US
Practice Address - Phone:559-436-1444
Practice Address - Fax:559-436-4395
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA038710207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A387100Medicaid
00A387100Medicare ID - Type Unspecified
CA00A387100Medicaid