Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 01026775A | IN |
NPI | 1033147525 |
---|---|
Provider Name | Dr. Charles E Hughes III |
First Address | Indianapolis, IN 46237-8600 |
Second Address | Indianapolis, IN 46237-8600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 22/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D67830 | (02) | IN |