Individual
DR. SANJAYA HEBBAR
Active
Individual
DR. SANJAYA HEBBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-27448
KS
207R00000X
Internal Medicine Physician
114746
MO
207R00000X
Internal Medicine Physician
Primary
35435
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349090A
—
KS
05
—
204635007
—
MO
01
—
2292242
AETNA
—
01
—
25819019
BCBS
—
01
—
337620
FIRST GUARD
—
Enumeration date
08/24/2005
Last updated
08/23/2025
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