MEDICARE: PAUL MARTIN 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	798	NV

General Provider Information

NPI Number	:	1558327692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MARTIN MCHUGH D.O.

Provider Business Mailing Address
First Line	:	2250 E TROPICANA AVE
Second Line	:	SUITE 19-281
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6541
Country	:	US
Telephone Number	:	702-334-5445
Fax Number	:	702-737-7277

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/08/2007

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