Individual
KORGI V HEGDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2531 S BIG BEND BLVD, SUITE 3, SAINT LOUIS, MO 63143-2112
(314) 645-5855
(314) 645-6446
Mailing address
PO BOX 797043, SAINT LOUIS, MO 63177-7043
(314) 645-5855
(314) 645-6446
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R7446
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100652
HEALTHLINK
MO
01
—
101893
GHP/ADVANTRA - COVENTRY
MO
01
—
152780
BLUE PRODUCTS
MO
05
—
201014115
—
MO
01
—
4331147
AETNA
—
01
—
4800233
UNITED HEALTHCARE
MO
Enumeration date
01/19/2006
Last updated
05/14/2010
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