Individual
DR. PAUL A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20398
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06118
BCBS OF NEBRASKA
NE
01
—
101346
BCBS KANSAS
KS
01
—
68901B012
TRICARE
—
01
—
9641
MIDLANDS CHOICE
NE
05
—
CHILDRENS MERCY
—
KS
01
—
H00776
STERLING OPTION ONE
—
01
—
H007776
COVENTRY HEALTH NE
NE
Enumeration date
06/27/2005
Last updated
10/24/2007
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