Individual
DR. BASAVANAGOUDA NINGANAGOUDA HIREGOUDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
Mailing address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9819A
WY
Other
Enumeration date
08/26/2009
Last updated
01/29/2015
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