MEDICARE: DR. DIANNE S MCHUGH D. O.

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
1	207Q00000X	Family Medicine Physician	20526	KS

General Provider Information

NPI Number	:	1174619845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANNE S MCHUGH D. O.

Provider Business Mailing Address
First Line	:	407 S CLAIRBORNE RD
Second Line	:	STE 106
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-829-6601
Fax Number	:	913-829-6201

Provider Business Practice Location Address
First Line	:	407 S CLAIRBORNE RD
Second Line	:	STE 106
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-829-6601
Fax Number	:	913-829-6201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/27/2016

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