Individual
KEITH A. HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 COFFEE ROAD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
2009 VICTORIA PARK, MODESTO, CA 95355-1964
(209) 846-9848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A42735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A427350
—
CA
Enumeration date
08/29/2006
Last updated
12/18/2009
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