Individual
DR. DONALD T HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 NORTHSIDE DR, BATESVILLE, IN 47006-7038
(812) 496-8782
(812) 539-1800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(812) 496-8782
(812) 539-1800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01049786A
IN
207W00000X
Ophthalmology Physician
35.081767
OH
207W00000X
Ophthalmology Physician
42414
KY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
01049786A
IN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
35.081767
OH
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
42414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000533203
ANTHEM BC/BS
—
05
—
1011062680001
—
PA
05
—
2424022
—
OH
05
—
64064462
—
KY
01
—
P00443351
RR MEDICARE
OH
Enumeration date
04/17/2006
Last updated
10/31/2023
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