Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | D83037 | MD |
NPI | 1003253360 |
---|---|
Provider Name | Dr. Suman Paul |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 09/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D83037 | STATE LICENSE (01) | MD |