Individual
DR. PAUL DRAMBAREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 288-3191
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
21957
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03373059
—
MS
01
—
30211I7954
MEDICARE PTAN
MS
01
—
3504875
UNITED HEALTHCARE
MS
01
—
5712119
CIGNA
MS
01
—
9007928
AETNA
MS
Enumeration date
05/25/2009
Last updated
08/23/2016
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