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Mr. Paul L Rodriguez, MD
General Practice Physician in Wichita, Kansas
NPI 1841209236

Paul L Rodriguez is a General Practice Physician based in Wichita, KS. Paul L Rodriguez practices in Wichita, KS and has the professional credentials of MD. The NPI Number for Paul L Rodriguez is 1841209236 and holds a License No. 10166 (Kansas).

The current practice location address for Paul L Rodriguez is 4713 N Portwest Cir, Wichita, KS and can be reached out via phone at 316-729-5517 and via fax at 316-729-5655.

Location: 4713 N Portwest Cir, Wichita, KS, 67204-2356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841209236
Provider Name
Paul L Rodriguez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4713 N Portwest Cir, Wichita, KS, 67204-2356
Phone Number
316-729-5517
Fax Number
316-729-5655
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCBS OF KS 01 KS BCBS IND OF KS 000105163
248522505 01 OK MEDICARE
7016639 01 OK AETNA
P00272804 01 OK RR MEDICARE #
100206250B 05 OK
institution
Provider Business Practice Location Address Details
Address
4713 N Portwest Cir
City
Wichita
State
Kansas
Zip
67204-2356
Phone Number
316-729-5517
Fax Number
316-729-5655
person
Provider Business Mailing Address Details
Address
4713 N Portwest Cir
City
Wichita
State
Kansas
Zip
67204-2356
Phone Number
316-729-5517
Fax Number
316-729-5655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME90262 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
10166 (Oklahoma)
Definition
Definition to come...
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