Individual
RAKESH HEGDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 ROBBINS STREET, WATERBURY, CT 06708
(770) 695-0671
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2613
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2018021676
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164759924
—
MO
05
—
200059155
—
MO
Enumeration date
11/14/2009
Last updated
01/23/2026
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