Provider Demographics
NPI:1942292826
Name:RAUSCH, PAUL GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:GREGORY
Last Name:RAUSCH
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 1:501 W 7TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4507
Mailing Address - Country:US
Mailing Address - Phone:301-662-8477
Mailing Address - Fax:301-662-4293
Practice Address - Street 1:501 W 7TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4507
Practice Address - Country:US
Practice Address - Phone:301-662-8477
Practice Address - Fax:301-662-4293
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014626207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
W575 0003OtherCAREFIRST BCBS GHMSI
419655-01OtherCAREFIRST BCBS MARYLAND
W575 0003OtherCAREFIRST BCBS GHMSI
MD014DMedicare PIN