Provider Demographics
NPI:1396159596
Name:MCGAHA, PAUL II (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:MCGAHA
Suffix:II
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 1:10920 SW 30TH TER
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0435
Mailing Address - Country:US
Mailing Address - Phone:903-780-2062
Mailing Address - Fax:
Practice Address - Street 1:10920 SW 30TH TER
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-0435
Practice Address - Country:US
Practice Address - Phone:903-780-2062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30659208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery