Individual
DR. JOSE ELAVATH PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103
(270) 901-5000
(270) 842-6553
Mailing address
850 WILKINSON TRCE, APT 215, BOWLING GREEN, KY 42103-2488
(270) 781-2489
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TP910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40628
STATE LICENSE
KY
Enumeration date
01/10/2007
Last updated
03/07/2023
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