Provider Demographics
NPI:1154490910
Name:TROUT, HUGH H III (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:H
Last Name:TROUT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 WISCONSIN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3107
Mailing Address - Country:US
Mailing Address - Phone:301-652-1208
Mailing Address - Fax:301-951-8425
Practice Address - Street 1:8218 WISCONSIN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3107
Practice Address - Country:US
Practice Address - Phone:301-652-1208
Practice Address - Fax:301-951-8425
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00287802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2976510-00Medicaid
MD2976510-00Medicaid
MD474694Medicare ID - Type Unspecified