Individual
DR. DOUGLAS HIDLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7000
Mailing address
3048 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
(434) 654-7114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
LP03119
RI
2085R0202X
Diagnostic Radiology Physician
MD60941274
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101269235
VA
2085R0204X
Vascular & Interventional Radiology Physician
60941274
WA
Other
Enumeration date
05/27/2014
Last updated
03/24/2025
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