Provider Demographics
NPI:1710921903
Name:MAI, HUGH D (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:D
Last Name:MAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 N 14TH ST
Mailing Address - Street 2:SUITE 620
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6204
Mailing Address - Country:US
Mailing Address - Phone:408-993-0636
Mailing Address - Fax:408-298-0454
Practice Address - Street 1:25 N 14TH ST
Practice Address - Street 2:SUITE 620
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6204
Practice Address - Country:US
Practice Address - Phone:408-993-0636
Practice Address - Fax:408-298-0454
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA45865207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE47620Medicare UPIN