Provider Demographics
NPI:1659473874
Name:DRAGUL, PAUL HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HAROLD
Last Name:DRAGUL
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 1:850 E HARVARD AVE
Mailing Address - Street 2:STE #505
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-744-1961
Mailing Address - Fax:303-744-1110
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:STE #505
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-744-1961
Practice Address - Fax:303-744-1110
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15320207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15320OtherSTATE
CO01153204Medicaid
CO01153204Medicaid
CO15320OtherSTATE
COC95718Medicare PIN