Provider Demographics
NPI:1831133644
Name:HUGHES, MICHAEL G JR (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:G
Last Name:HUGHES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2401 TERRA CROSSING BLVD STE 375
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-5395
Mailing Address - Country:US
Mailing Address - Phone:502-912-8300
Mailing Address - Fax:502-912-8310
Practice Address - Street 1:2401 TERRA CROSSING BLVD STE 375
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-5395
Practice Address - Country:US
Practice Address - Phone:502-912-8300
Practice Address - Fax:502-912-8310
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99098912A204F00000X, 208600000X
KY44016208600000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery