Individual
PAULA JEAN RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01065754A
IN
207L00000X
Anesthesiology Physician
16165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600094
ANTHEM PROVIDER NUMBER
IN
05
—
200008120A
—
OK
05
—
200929350
—
IN
01
—
264430H44
MEDICARE PTAN
IN
05
—
300077748
—
IN
01
—
603138200
DOL INDIV #
—
01
—
731451967001
BCBS GRP BILLING #
—
Enumeration date
05/12/2006
Last updated
09/29/2023
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