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Individual

DR. DONALD T HUDAK

Active
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Individual

DR. DONALD T HUDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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