Male or Other

Dr. Jagadish M. Hegde MD

Internal Medicine Physician in Kalamazoo, MI(View on Map)

Full Name

Dr. Jagadish Manjunath Hegde MD

NPI Number

1861696346

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/11/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Kentucky
Michigan

License Number

43419
4301087291

Contact
Information

Purpose

Mailing
Location

Address

601 JOHN ST
601 JOHN ST

City

Kalamazoo
Kalamazoo

State

MI
MI

Postal Code

49007-5341
49007-5341

Country

US
US

Telephone Number

(269) 341-8481
(269) 341-8481

Identifiers

Identifier

1861696346
1417961137

Identifier State

MI
MI

Identifier Issuer

Unknown
BCBSM - BMH

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

direct@direct.bronsonhg.org

Endpoint Description

Bronson Healthcare Group Direct address

Use

Direct

Content Type

Other

Other Description:
Continuity of Care Document

Affiliation

Y

Endpoint Location

601 John StKalamazoo, MI490075341US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/12/2020

Provider Address

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