Individual
PRADEEP S PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 907-3215
(207) 907-1795
Mailing address
PO BOX 934, BANGOR, ME 04402-0934
(207) 907-3339
(207) 907-1214
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD16897
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431970799
—
ME
Enumeration date
06/17/2006
Last updated
01/23/2012
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