Provider Demographics
NPI:1083611586
Name:HEGDE, SADANAND BELINJE (MD)
Entity Type:Individual
Prefix:
First Name:SADANAND
Middle Name:BELINJE
Last Name:HEGDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:910-738-1141
Mailing Address - Fax:910-738-6011
Practice Address - Street 1:725 OAKRIDGE BLVD STE A3
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2351
Practice Address - Country:US
Practice Address - Phone:910-738-1141
Practice Address - Fax:910-738-6011
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25596207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8940895Medicaid
NC40895OtherBCBS
NC207151BMedicare ID - Type Unspecified
NC8940895Medicaid