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NPI Code Detail

MEDICARE: EVERARD HUDSON HUGHES JR. MD

MEDICARE:   EVERARD HUDSON HUGHES JR. MD
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
1207RH0003XHematology & Oncology Physician04-28775KS
2207RH0003XHematology & Oncology PhysicianG32722CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3104879OTHERKSMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00253469OTHERRAILROAD MC

General Provider Information

NPI Number : 1225033152
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVERARD HUDSON HUGHES JR. MD
Provider Business Mailing Address
First Line : 1081 N CHINA LAKE BLVD
Second Line :
City : RIDGECREST
State : CA
Zip : 93555-3130
Country : US
Telephone Number : 760-499-3360
Fax Number : 760-499-3361
Provider Business Practice Location Address
First Line : 1011 N CHINA LAKE BLVD
Second Line :
City : RIDGECREST
State : CA
Zip : 93555-3130
Country : US
Telephone Number : 760-499-3360
Fax Number : 760-499-3361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 05/17/2021

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Directions to “ EVERARD HUDSON HUGHES JR. MD” Practice Location

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