Hegde, Sanjay R

Hegde, Sanjay R is an individual health care provider with primary practice located at 955 Main St Suite 206, Winchester MA 01890-1961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hegde, Sanjay R can be contacted via phone (781) 729-5855.

Contact Information

Primary practice address
955 Main St Suite 206 Winchester MA 01890-1961
Fax: (781) 721-5891
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MT183245 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D69588 Maryland
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 247933 Massachusetts

Profile Details

NPI number 1881756179
LBN Legal business name Hegde, Sanjay R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881756179 NPPES
Maryland MEDICAID 418373800
Maryland Other S062-0364
Maryland Other 954004-01 & 02

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