Provider Demographics
NPI:1538195177
Name:CABIRAN, PAUL SQUIRE (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SQUIRE
Last Name:CABIRAN
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 63211
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28263-3211
Mailing Address - Country:US
Mailing Address - Phone:828-526-1232
Mailing Address - Fax:828-526-9988
Practice Address - Street 1:209 HOSPITAL DR
Practice Address - Street 2:SUITE 302
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7623
Practice Address - Country:US
Practice Address - Phone:828-526-1232
Practice Address - Fax:828-526-9988
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400105174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF77543Medicare UPIN
NC2021706Medicare ID - Type Unspecified