Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A100957 | CA |
NPI | 1063690311 |
---|---|
Provider Name | Dr. Richard Kailean Mchugh |
First Address | Oakland, CA 94612-3466 |
Second Address | Birmingham, AL 35233-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2008 |
Last Update Date | 21/12/2021 |