Provider Demographics
NPI:1841258761
Name:HAUGAN, PAUL ANDREW (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ANDREW
Last Name:HAUGAN
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 19368
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27619-9368
Mailing Address - Country:US
Mailing Address - Phone:919-787-8221
Mailing Address - Fax:919-789-4461
Practice Address - Street 1:3949 BROWNING PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6504
Practice Address - Country:US
Practice Address - Phone:919-787-8221
Practice Address - Fax:919-789-4461
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC134GXOtherBLUECROSS BLUESHIELD
NC6086573OtherCIGNA
NCP00158821OtherRAILROAD MEDICARE
NC89134GXMedicaid
NC3573454OtherAETNA
NCD4956OtherMEDCOST
NCD5135OtherMEDCOST
NC2326018OtherUNITED HEALTHCARE
NC3554538OtherAETNA
NC3554537OtherAETNA
NCP00159843OtherRAILROAD MEDICARE
NCD5137OtherMEDCOST
NCP00188876OtherRAILROAD MEDICARE
NCP00158821OtherRAILROAD MEDICARE
NC3554538OtherAETNA
NC3573454OtherAETNA
NCD4956OtherMEDCOST