Individual
DINRAJ HEGDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10530 ROSEHAVEN ST, FAIRFAX, VA 22030-2840
(703) 938-0363
(703) 938-8653
Mailing address
10530 ROSEHAVEN ST, FAIRFAX, VA 22030-2840
(703) 938-0363
(703) 938-8653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101267175
VA
207Q00000X
Family Medicine Physician
036112944
IL
207Q00000X
Family Medicine Physician
N2112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112944
—
IL
Enumeration date
10/12/2005
Last updated
03/09/2023
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