Provider Demographics
NPI:1649243304
Name:CUA, ARNOLD-PAUL C (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD-PAUL
Middle Name:C
Last Name:CUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARNOLD
Other - Middle Name:PAUL C
Other - Last Name:CUA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:202 N DIVISION ST STE 301
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-4939
Mailing Address - Country:US
Mailing Address - Phone:253-876-7990
Mailing Address - Fax:
Practice Address - Street 1:202 N DIVISION ST STE 301
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4939
Practice Address - Country:US
Practice Address - Phone:253-876-7990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11540207RI0200X
WAMD60514750207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
10802947OtherCAQH
NV1649243304Medicaid
NVH76388Medicare UPIN
NV1649243304Medicaid