Provider Demographics
NPI:1952330573
Name:HUGHES, ALAN DAVID (MD)
Entity Type:Individual
Prefix:PROF
First Name:ALAN
Middle Name:DAVID
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9231 ROYAL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7406
Mailing Address - Country:US
Mailing Address - Phone:423-894-6404
Mailing Address - Fax:
Practice Address - Street 1:1720 GUNBARREL RD
Practice Address - Street 2:SUITE 306
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3192
Practice Address - Country:US
Practice Address - Phone:423-648-2760
Practice Address - Fax:423-649-2765
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN MD 012601207U00000X, 207UN0901X, 207UN0902X, 207UN0903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Not Answered207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Not Answered207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Not Answered207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN04063028OtherBCBS PIN #
TN1568665297OtherGROUP NPI
TN1568665297OtherGROUP NPI
TN04063028OtherBCBS PIN #
TN3193410Medicare PIN