Individual
SANDEEP HEDGIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4260
Mailing address
5 RONALD RD, ARLINGTON, MA 02474-1421
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
273007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
390200000X
MA
Enumeration date
02/14/2014
Last updated
10/16/2017
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