Individual
DR. KENNETH YURDIN PAUKER
Active
Individual
DR. KENNETH YURDIN PAUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G44782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G447820
BLUE SHIELD ID #
CA
05
—
00G447820
—
CA
01
—
00G447820385
CALOPTIMA ID #
CA
01
—
P00082416
RAILROAD MEDICARE ID #
CA
Enumeration date
07/25/2006
Last updated
07/09/2007
Update your record
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