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Individual

PAULA JEAN RAWLS

Active
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Individual

PAULA JEAN RAWLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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