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NPI Code Detail

MEDICARE: DR. DAVID ROBERT PAULUS M.D.

MEDICARE: DR. DAVID ROBERT PAULUS M.D.
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
1207Q00000XFamily Medicine Physician19889NE
2207Q00000XFamily Medicine Physician0101255399VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5C03658OTHERCVFP. INC. MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11528155892OTHERVACENTRAL VIRGINIA FAMILY PHYSICIANS, INC. NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366418063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ROBERT PAULUS M.D.
Provider Business Mailing Address
First Line : 1088 LONDON LINKS DR
Second Line :
City : FOREST
State : VA
Zip : 24551-4662
Country : US
Telephone Number : 434-534-6868
Fax Number : 434-534-8808
Provider Business Practice Location Address
First Line : 1088 LONDON LINKS DR
Second Line :
City : FOREST
State : VA
Zip : 24551-4662
Country : US
Telephone Number : 434-534-6868
Fax Number : 434-534-8808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 09/20/2016

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