Individual
PAUL VARKEY KOCHUPURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Mailing address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
252099
NY
2086S0129X
Vascular Surgery Physician
Primary
2012-00317
NC
2086S0129X
Vascular Surgery Physician
252099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03101764
—
NY
Enumeration date
03/13/2009
Last updated
03/07/2012
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