=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083611586
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SADANAND BELINJE HEGDE M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2005
-----------------------------------------------------
Last Update Date | 03/01/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 725 OAKRIDGE BLVD STE A3
-----------------------------------------------------
City | LUMBERTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28358-2351
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-738-1141
-----------------------------------------------------
Fax | 910-738-6011
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5221 PARAMOUNT PKWY STE 220
-----------------------------------------------------
City | MORRISVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27560-5490
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-738-1141
-----------------------------------------------------
Fax | 910-738-6011
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | 25596
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------