Individual
PAUL S. MATHAROO
Active
Individual
PAUL S. MATHAROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000770732
ANTHEM
KY
05
—
1689835332
—
VA
05
—
7100208840
—
KY
01
—
P01077792
RAILROAD MEDICARE
KY
Enumeration date
06/24/2008
Last updated
09/29/2023
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