Most Relevant Information
Provider Data
| NPI Number: | 1003811340 |
| Provider Name: | SUNIL KUMAR HEGDE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | A45472 |
Most Important Dates
| Enumeration Date: | 06/14/2005 |
| Last Updated: | 10/11/2007 |
Provider Practice Location
630 S. RAYMOND AVE.
SUITE #120
PASADENA
CA
91105
Practice Location Phone/Fax
| Phone: | 6264031444 |
| Fax: | 6264031448 |
Provider Mailing Location
630 S. RAYMOND AVE.
SUITE #120
PASADENA
CA
91105
Provider Mailing Phone/Fax
| Phone: | 6264031444 |
| Fax: | 6264031448 |