Individual
DR. PAUL R CIPRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 N BASCOM AVE, STE 104, SAN JOSE, CA 95128
(408) 918-0405
(408) 918-0409
Mailing address
105 N BASCOM AVE, STE 104, SAN JOSE, CA 95128
(408) 918-0405
(408) 918-0409
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C35381
CA
2085U0001X
Diagnostic Ultrasound Physician
C35381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2153
RAILROAD MEDICARE
CA
05
—
GR0052800
—
CA
Enumeration date
07/27/2006
Last updated
03/24/2014
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