Individual
EVERARD HUDSON HUGHES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3360
(760) 499-3361
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3360
(760) 499-3361
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-28775
KS
207RH0003X
Hematology & Oncology Physician
Primary
G32722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100369490D
—
KS
01
—
104879
MEDICARE ID
KS
01
—
P00253469
RAILROAD MC
—
Enumeration date
06/16/2005
Last updated
05/17/2021
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