Individual
RAWLE A SEUPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
213 S JEFFERSON ST STE 1006, STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101280533
VA
207P00000X
Emergency Medicine Physician
01052612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175298
ANTHEM
IN
05
—
200299670
—
IN
Enumeration date
08/30/2006
Last updated
03/25/2026
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