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NPI Code Detail

MEDICARE: RUSSELL K PAUL MD

MEDICARE: RUSSELL K PAUL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology PhysicianG88519CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245208727
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL K PAUL MD
Provider Business Mailing Address
First Line : 9602 STOCKDALE HWY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-3618
Country : US
Telephone Number : 608-276-5882
Fax Number : 800-509-9882
Provider Business Practice Location Address
First Line : 9602 STOCKDALE HWY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-3618
Country : US
Telephone Number : 608-276-5882
Fax Number : 800-509-9882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 09/17/2009

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Directions to “ RUSSELL K PAUL MD” Practice Location

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