Provider Demographics
NPI:1619047958
Name:HUGHES, REGINALD DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:DOUGLAS
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12035 142ND ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11436-1412
Mailing Address - Country:US
Mailing Address - Phone:917-862-2864
Mailing Address - Fax:866-223-7072
Practice Address - Street 1:13303 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418-2618
Practice Address - Country:US
Practice Address - Phone:718-657-7093
Practice Address - Fax:718-558-5314
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY218738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY218738OtherNYS MEDICAL LICENSE
NY218738OtherNYS MEDICAL LICENSE
NY218738OtherNYS MEDICAL LICENSE