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NPI Code Detail

MEDICARE: DR. ZANDRA D'HUE M.D.

MEDICARE: DR. ZANDRA D'HUE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician11012623AIN

General Provider Information

NPI Number : 1013177575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZANDRA D'HUE M.D.
Provider Business Mailing Address
First Line : 5165 MCCARTY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-8764
Country : US
Telephone Number : 765-838-5008
Fax Number :
Provider Business Practice Location Address
First Line : 5165 MCCARTY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-8764
Country : US
Telephone Number : 765-838-5008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 02/04/2021

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