Provider Demographics
NPI:1124040274
Name:HUGHES, LUMAN HAROLD III (MD)
Entity type:Individual
Prefix:DR
First Name:LUMAN
Middle Name:HAROLD
Last Name:HUGHES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LUMAN
Other - Middle Name:SANDY
Other - Last Name:HUGHES
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:112 LA CASA VIA STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3011
Mailing Address - Country:US
Mailing Address - Phone:925-933-4747
Mailing Address - Fax:925-935-3559
Practice Address - Street 1:112 LA CASA VIA STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3011
Practice Address - Country:US
Practice Address - Phone:925-933-4747
Practice Address - Fax:925-935-3559
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52764207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE78685Medicare UPIN