Dr Basavanagouda Ninganagouda Hiregoudar, M D | |
2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | |
(307) 635-7961 | |
Not Available |
Full Name | Dr Basavanagouda Ninganagouda Hiregoudar |
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Gender | Male |
Speciality | Pediatrics |
Location | 2301 House Ave, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245463041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 9819A (Wyoming) | Primary |
Entity Name | Family Healthcare Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164517744 PECOS PAC ID: 6305756339 Enrollment ID: O20040123000681 |
Mailing Address | Practice Location Address |
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Dr Basavanagouda Ninganagouda Hiregoudar, M D 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 Ph: (307) 635-7961 | Dr Basavanagouda Ninganagouda Hiregoudar, M D 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 Ph: (307) 635-7961 |
William Joseph Horam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Dr. Andrew Brent Rose, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 | |
Robert W Leland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Danae L Stampfli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Robert R Prentice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Mera Geis Johnson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4116 Laramie St, Cheyenne, WY 82001 Phone: 307-635-7961 |