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NPI Code Detail

MEDICARE: SUDHIR HEGDE M.D., PH.D.

MEDICARE: SUDHIR HEGDE M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01055167AIN

General Provider Information

NPI Number : 1235194705
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDHIR HEGDE M.D., PH.D.
Provider Business Mailing Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-861-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 09/20/2016

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