DR. Basavanagouda Ninganagouda Hiregoudar, M D

NPI #1245463041 in Cheyenne, Wyoming

Provider Information

NPI Number: 1245463041
Entity Type: Individual
Name: DR. Basavanagouda Ninganagouda Hiregoudar, M D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M D
Enumeration Date: Aug 26, 2009
Last Updated: Jan 29, 2015

Practice Location

Address: 2301 HOUSE AVE
Address 2: SUITE 405
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3176
Phone: (307) 635-7961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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