Provider Demographics
NPI:1679019574
Name:HANGYAL, ANDRAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDRAS
Middle Name:
Last Name:HANGYAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1307
Mailing Address - Country:US
Mailing Address - Phone:510-849-4691
Mailing Address - Fax:510-849-5460
Practice Address - Street 1:2190 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1307
Practice Address - Country:US
Practice Address - Phone:510-849-4691
Practice Address - Fax:510-849-5460
Is Sole Proprietor?:No
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72578183500000X
MAPH235537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist