National Provider Identifier Database

PAUL D ELLIS, MD – NPI #1528025673
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

PAUL D ELLIS, MD
130 W RAVINE RD
KINGSPORT, TN37660
Phone: 423-968-1144
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for PAUL D ELLIS

NPI Number 1528025673
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 11/14/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME103342
  • KY License #: 39706
  • TN License #: 40098
  • TN Medicaid: 3336612
  • TN Other: P00278836 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PAUL D ELLIS, MD

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