Provider Demographics
NPI:1134173818
Name:HASYAGAR, CHHAYA P (M D)
Entity type:Individual
Prefix:DR
First Name:CHHAYA
Middle Name:P
Last Name:HASYAGAR
Suffix:
Gender:F
Credentials:M D
Other - Prefix:DR
Other - First Name:CHHAYA
Other - Middle Name:R
Other - Last Name:BHAGWAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M D
Mailing Address - Street 1:3224 ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-6010
Mailing Address - Country:US
Mailing Address - Phone:774-249-0847
Mailing Address - Fax:
Practice Address - Street 1:4150 V ST
Practice Address - Street 2:SUITE 3500, PSSB
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-3751
Practice Address - Fax:916-734-7908
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine