Provider Demographics
NPI:1720049729
Name:HUGHES, FELIX AUSTIN III (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:AUSTIN
Last Name:HUGHES
Suffix:III
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 1:207A 60TH ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-2112
Mailing Address - Country:US
Mailing Address - Phone:757-417-0448
Mailing Address - Fax:
Practice Address - Street 1:207A 60TH ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-2112
Practice Address - Country:US
Practice Address - Phone:757-417-0448
Practice Address - Fax:757-417-0331
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010230242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7240368Medicaid
VA7240368Medicaid