Provider Demographics
NPI:1558522458
Name:HISLOP, DONALD HUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:HUGH
Last Name:HISLOP
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 1:1887 RITCHIE HWY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-6229
Mailing Address - Country:US
Mailing Address - Phone:410-974-4577
Mailing Address - Fax:410-694-0889
Practice Address - Street 1:1887 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-6229
Practice Address - Country:US
Practice Address - Phone:410-974-4577
Practice Address - Fax:410-694-0889
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO8293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine