Provider Demographics
NPI:1851361695
Name:HUGHES, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 SOUTH ELLSWORTH AVENUE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3956
Mailing Address - Country:US
Mailing Address - Phone:650-343-5633
Mailing Address - Fax:650-343-3122
Practice Address - Street 1:100 SOUTH ELLSWORTH AVENUE
Practice Address - Street 2:SUITE 504
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-343-5633
Practice Address - Fax:650-343-3122
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2024-02-06
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Provider Licenses
StateLicense IDTaxonomies
CAA78391207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A783911Medicare PIN
H40749Medicare UPIN