Dr. Paul John Tobben, M.D.
Radiology, Diagnostic Radiology in Charlotte, NC. Individual provider (NPI-1).
NPI number1790747202
StatusActive
Last updated in NPPESFeb 3, 2023
Details
- NPI
- 1790747202
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul John Tobben
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2006
- Certification date
- Oct 1, 2020
- Last updated
- Feb 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 34179 | NC | Yes |
| 2085N0700X | 34179 | NC | ||
| 2085N0700X | 22194 | SC | ||
| 2085R0202X | Radiology, Diagnostic Radiology | 22194 | SC |
Practice location
3623 Latrobe DrSuite 216
Charlotte, NC 28211
Phone 704-332-1291 · Fax 704-332-5206
Mailing address
Po Box 221249Charlotte, NC 28222-1249
Phone 704-332-1291 · Fax 704-332-5206
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