Healthcare Provider Details

I. General information

NPI: 1912534546
Provider Name (Legal Business Name): EMELIA HUGHES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 CADILLAC DR STE 170
SACRAMENTO CA
95825-5480
US

IV. Provider business mailing address

77 CADILLAC DR STE 170
SACRAMENTO CA
95825-5480
US

V. Phone/Fax

Practice location:
  • Phone: 916-664-3391
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberA182874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: