Provider Demographics
NPI:1033164785
Name:HEGDE, AROTI (MD)
Entity Type:Individual
Prefix:DR
First Name:AROTI
Middle Name:
Last Name:HEGDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7342 HOOKING ROAD
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2718
Mailing Address - Country:US
Mailing Address - Phone:703-288-0535
Mailing Address - Fax:
Practice Address - Street 1:7342 HOOKING RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-2718
Practice Address - Country:US
Practice Address - Phone:703-288-0535
Practice Address - Fax:703-288-0536
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2014-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31054207RN0300X
MDD0059771207RN0300X
VA01011233819207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC21229OtherDC ALLIANCE/CHARTERED HEA
3279971OtherAETNA: HMO
7609294OtherAETNA: NON-HMO
MDKEV4NAOtherBLUE CROSS BLUE SHIELD
MD611002900Medicaid
61878OtherAMERICAID
DCH945OtherBLUE CROSS BLUE SHIELD
3107761OtherMAMSI: INTERNAL MEDICINE
2107761OtherMAMSI: NEPHROLOGY
DC025702300Medicaid
DC025702300Medicaid
2107761OtherMAMSI: NEPHROLOGY