MEDICARE: EDWARD HUGHES 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
1	2085R0001X	Radiation Oncology Physician	35067354	OH
2	2085R0202X	Diagnostic Radiology Physician	35067364	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1710938220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD HUGHES MD

Provider Business Mailing Address
First Line	:	PO BOX 750245
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45475-0245
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 WOODMAN CENTER CT
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45420-1477
Country	:	US
Telephone Number	:	937-293-2273
Fax Number	:

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/28/2014

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Directions to “ EDWARD HUGHES MD” Practice Location

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