Provider Demographics
NPI:1497956536
Name:PAUPOO, ARASEN (MD, MA, FACOG)
Entity type:Individual
Prefix:
First Name:ARASEN
Middle Name:
Last Name:PAUPOO
Suffix:
Gender:M
Credentials:MD, MA, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 55309
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 N 30TH ST
Practice Address - Street 2:SUITE 4700
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2137
Practice Address - Country:US
Practice Address - Phone:402-717-0909
Practice Address - Fax:402-717-6069
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26378207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910254Medicaid
AL009910257Medicaid
AL009910256Medicaid
AL051541384OtherBCBS
AL009910374Medicaid
AL051541383OtherBCBS
AL051541382OtherBCBS
AL051541381OtherBCBS
AL009910257Medicaid