Provider Demographics
NPI:1003906645
Name:ESSAH, PAULINA (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:
Last Name:ESSAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAULINA
Other - Middle Name:
Other - Last Name:ASIHENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2025 E MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7069
Mailing Address - Country:US
Mailing Address - Phone:804-253-1996
Mailing Address - Fax:804-253-1970
Practice Address - Street 1:719 N 25TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6539
Practice Address - Country:US
Practice Address - Phone:804-253-1963
Practice Address - Fax:804-780-0862
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2010-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5837201Medicaid
110007721Medicare ID - Type Unspecified
VA5837201Medicaid