Provider Demographics
NPI:1548441728
Name:GAHLINGER, PAUL MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MARIA
Last Name:GAHLINGER
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 1:5072 CHASITY CT
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-8103
Mailing Address - Country:US
Mailing Address - Phone:530-321-2074
Mailing Address - Fax:
Practice Address - Street 1:5072 CHASITY CT
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-8103
Practice Address - Country:US
Practice Address - Phone:530-321-2074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG871662083X0100X, 208D00000X
MP541208D00000X
UT97-339160-1205208D00000X, 208VP0000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTF92082Medicare UPIN