Provider Demographics
NPI:1144246414
Name:MARAVEL, PAUL WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:WILLIAM
Last Name:MARAVEL
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 1:7611 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3303
Mailing Address - Country:US
Mailing Address - Phone:718-238-7111
Mailing Address - Fax:718-238-8675
Practice Address - Street 1:7611 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3303
Practice Address - Country:US
Practice Address - Phone:718-238-7111
Practice Address - Fax:718-238-8675
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170556207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY28013OtherEMPIRE PLAN
NY0510519OtherAETNA
NY18298OtherMAGNACARE
NY195AF1OtherBC/BS
NY2513914OtherGHI
NY28013OtherUNITED HEALTHCARE
NYP00158279OtherRAILROAD MEDICARE
NYKP095OtherOXFORD
NY1P1148OtherHEALTHNET
NY170556OtherHIP
NY195AF1OtherBC/BS
NY2513914OtherGHI