Provider Demographics
NPI:1003886334
Name:RAHILL, PAUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:RAHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2925 PROFESSIONAL PL
Mailing Address - Street 2:STE 110
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-8134
Mailing Address - Country:US
Mailing Address - Phone:719-445-0344
Mailing Address - Fax:719-445-0357
Practice Address - Street 1:2925 PROFESSIONAL PL
Practice Address - Street 2:STE 110
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-8134
Practice Address - Country:US
Practice Address - Phone:719-445-0344
Practice Address - Fax:719-445-0357
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2023-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COCO40753207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40036383Medicaid
H75477Medicare UPIN
CO40036383Medicaid