Provider Demographics
NPI:1700394160
Name:HUGHES, MICHAEL (ND)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-169 HUALALAI RD STE 301
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3722
Mailing Address - Country:US
Mailing Address - Phone:808-329-2114
Mailing Address - Fax:808-326-2871
Practice Address - Street 1:75-169 HUALALAI RD STE 301
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3722
Practice Address - Country:US
Practice Address - Phone:808-329-2114
Practice Address - Fax:808-326-2871
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-290207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine