Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0101052317 | VA |
Y | 2080P0204X | Pediatric Emergency Doctor | 0101052317 | VA |
NPI | 1235201336 |
---|---|
Provider Name | William E Hauda |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6060951 | (05) | VA |
930051786 | RAILROAD MEDICARE (01) | VA |
G16380 | (02) | VA |