Provider Demographics
NPI:1316987373
Name:TOBIN, HUGH MCNAIR (MD)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:MCNAIR
Last Name:TOBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-8869
Mailing Address - Country:US
Mailing Address - Phone:209-545-1998
Mailing Address - Fax:
Practice Address - Street 1:1406 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-8869
Practice Address - Country:US
Practice Address - Phone:209-545-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG523872086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A52244Medicare UPIN
ZZZ76734ZMedicare ID - Type Unspecified