Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101257837 | VA |
Y | 111NI0900X | Internist | 0101257837 | VA |
N | 207R00000X | Internist | 23708 | WV |
N | 111NI0900X | Internist | 23708 | WV |
N | 207R00000X | Internist | 255361 | NY |
N | 111NI0900X | Internist | 255361 | NY |
NPI | 1003077702 |
---|---|
Provider Name | Arunava Paul |
First Address | Portsmouth, VA 23707-0068 |
Second Address | Norfolk, VA 23502-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 04/05/2020 |