Organization
BIJOY HEGDE MD, PC
Active
Organization
BIJOY HEGDE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJOY HEGDE MD (PRESIDENT)
(618) 451-1500
Entity
Organization
Contact information
Practice address
2044 MADISON AVE, SUITE 15, GRANITE CITY, IL 62040-4641
(618) 451-1500
Mailing address
2044 MADISON AVE, SUITE 15, GRANITE CITY, IL 62040-4641
(618) 451-1500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6032070
BC BS
IL
Enumeration date
03/23/2007
Last updated
01/21/2011
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