Provider Demographics
NPI:1083615181
Name:FEIL, PAUL (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:FEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 S TELSHOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-5049
Mailing Address - Country:US
Mailing Address - Phone:575-522-2777
Mailing Address - Fax:575-522-4532
Practice Address - Street 1:2437 S TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5049
Practice Address - Country:US
Practice Address - Phone:575-522-2777
Practice Address - Fax:575-522-4532
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM78-155207RP1001X
NMNM 78-155207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM110004038OtherRR MEDICARE
NM25015Medicaid
NM88011A00ZOtherWPS TRICARE
NM15404OtherPRESBYTERIAN
NM850397044OtherCHAMPUS
NMNM000803OtherBC/BS
NM15404OtherPRESBYTERIAN
NM2132671Medicare ID - Type Unspecified
NM850397044OtherCHAMPUS