Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 26378 | NE |
NPI | 1497956536 |
---|---|
Provider Name | Arasen Paupoo |
First Address | Birmingham, AL 35255-5309 |
Second Address | Omaha, NE 68131-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009910254 | (05) | AL |
009910256 | (05) | AL |
009910257 | (05) | AL |
009910374 | (05) | AL |
051541381 | BCBS (01) | AL |
051541382 | BCBS (01) | AL |
051541383 | BCBS (01) | AL |
051541384 | BCBS (01) | AL |