Individual
PAUL KUPPERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A4933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX49330
—
CA
01
—
00AX49330 159
CALOPTIMA
—
01
—
020A49330
BLUE SHIELD OF CA
—
01
—
053304CA01379
TRAILBLAZER
—
01
—
300034681
RAILROAD MEDICARE
—
Enumeration date
07/15/2005
Last updated
08/15/2008
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