Provider Demographics
NPI:1851603906
Name:BIRINYI, PAUL V (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:BIRINYI
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:PO BOX 11758
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-1758
Mailing Address - Country:US
Mailing Address - Phone:800-238-0827
Mailing Address - Fax:318-219-5221
Practice Address - Street 1:2410 JAKE DR STE 1
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-7710
Practice Address - Country:US
Practice Address - Phone:800-238-0827
Practice Address - Fax:318-219-5221
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5514207T00000X
MN73373207T00000X
TN55750207T00000X
KS04-44190207T00000X
LAMD.308541207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2483978Medicaid