Individual
BOBBY W PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1440 ROCKSIDE RD STE 101, PARMA, OH 44134-2749
(216) 749-8277
(216) 749-8273
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-063082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665745
ANTHEM
OH
05
—
0889089
—
OH
01
—
4411484
AETNA
OH
01
—
P63082
SUMMACARE
OH
Enumeration date
05/26/2006
Last updated
09/04/2024
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