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Individual

PRABHAKARA S HEGGUNJE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 W COLUMBIA ST, EVANSVILLE, IN 47710-1656
(812) 464-0521
(812) 464-0565
Mailing address
415 W COLUMBIA ST, EVANSVILLE, IN 47710-1656
(812) 464-0521
(812) 464-0565

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01059515A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000341000
ANTHEM
05
255543
KY
05
64092778
KY
Enumeration date
04/10/2006
Last updated
07/09/2007
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