MEDICARE: JASON A HUDAK 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	207Q00000X	Family Medicine Physician	22791	WV

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	:	1740494558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON A HUDAK MD

Provider Business Mailing Address
First Line	:	3246 US ROUTE 60 STE 5
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-2729
Country	:	US
Telephone Number	:	304-733-5990
Fax Number	:	304-733-5991

Provider Business Practice Location Address
First Line	:	3246 US ROUTE 60 STE 5
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-2729
Country	:	US
Telephone Number	:	304-733-5990
Fax Number	:	304-733-5991

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	01/12/2026

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Directions to “ JASON A HUDAK MD” Practice Location

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