Provider Demographics
NPI:1023024809
Name:SCHULMAN, PAUL S (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4352 TRIAS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1156
Mailing Address - Country:US
Mailing Address - Phone:619-997-8881
Mailing Address - Fax:619-795-9980
Practice Address - Street 1:4352 TRIAS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1156
Practice Address - Country:US
Practice Address - Phone:619-997-8881
Practice Address - Fax:619-795-9980
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1048292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEL641YMedicare PIN
CAEL641ZMedicare PIN
NYA43032Medicare UPIN