Provider Demographics
NPI:1477596708
Name:MIGHTY, HUGH E (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:E
Last Name:MIGHTY
Suffix:
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 1:2041 GEORGIA AVE NW TOWERS BUILDING RM 6010
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-2625
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW TOWERS BUILDING RM 6010
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-1734
Practice Address - Country:US
Practice Address - Phone:202-865-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28381207V00000X, 207VM0101X
DCMD043602207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS186 / 0065OtherBLUECHOICE
MD405221800Medicaid
MDLT35 / 350424-02OtherBC / BS OF MD
165L / H 178Medicare ID - Type Unspecified
MD405221800Medicaid