Provider Demographics
NPI:1750647285
Name:HUGHES, PIPER JULIE (MD)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:JULIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N SUNRISE AVE STE 1205
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2932
Mailing Address - Country:US
Mailing Address - Phone:916-789-1505
Mailing Address - Fax:916-789-0595
Practice Address - Street 1:151 N SUNRISE AVE STE 1205
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2932
Practice Address - Country:US
Practice Address - Phone:916-789-1505
Practice Address - Fax:916-789-0595
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-02437207RN0300X
CAA159466207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1750647285Medicaid
NC19R7QOtherBCBS OF NC
NCNCZ186AOtherMEDICARE