Individual provider · Type 1 NPI

Prodip Kumar Paul, MD

Student in an Organized Health Care Education/Training Program · Vestal, NY

NPI number 1699147371 Active

Practice location

4433 Vestal Pkwy E
Vestal, NY 13850-3556

Call (607) 240-2879 Map

Fax (607) 771-2225

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X345819-01 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000X345819-01 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699147371

Prodip Kumar Paul, MD's National Provider Identifier is 1699147371, issued on Oct 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vestal, NY. The record was last updated on Jul 29, 2026.