Individual
MICHAEL J HODOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
833-C WAKE FOREST BUSINESS PARK, WAKE FOREST, NC 27587-6519
(919) 570-9061
(919) 570-9064
Mailing address
833 C WAKE FOREST BUSINESS PARK, WAKE FOREST, NC 27587-6519
(919) 570-9061
(919) 570-9064
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
512
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
POD000792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728538C
—
GA
05
—
000728538D
—
GA
01
—
2162228
AETNA HMO
GA
01
—
2700036
UNITED HEALTHCARE
GA
01
—
480032033
RAILROAD MEDICARE
FL
01
—
5133456
AETNA PPO
GA
01
—
GPD792
SOUTH CAROLINA MEDICAID
SC
Enumeration date
09/15/2006
Last updated
02/18/2021
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