[1][2] He is the founder of the US-based organizations Global Peace Initiative (GPI) and Gospel to the Unreached Millions (GUM) and has operated orphanages, including Charity City in Hyderabad.

[3] He was joined by Manoj Malla alias Bala Yesu in 2008, and started the Praja Shanti party that same year.

Paul stated that he traveled with his evangelist father to hundreds of villages in India sharing the gospel and, at age 19, he entered full-time ministry.

[10] Paul was granted honorary degree from Living Word Bible College in Swan River, Manitoba, Canada.

[17][18] In an article in The New Republic, Michelle Cottle compared him with Billy Graham and Jimmy Carter, writing that "Focused as he is on Third World hunger and other apolitical issues that don’t get you on “Crossfire,” Dr. Paul simply may never fit the American image of a Spiritual Leader.

Most take place in Africa or India, where villagers stream in from around the countryside to see, as one Indian paper put it, “the mesmerizing evangelist,” who has become a minor celebrity across much of both continents.

[5][26] Though there were multiple reports that police dropped charges against him due to lack of evidence,[27][28] as of March 2023, the case is still ongoing as he petitioned for a stay against his arrest in the Supreme Court of India.

[29] Earlier, his criminal petition 4830 of 2023 in the Telangana High Court was dismissed by Justice Madhavi Devi who directed him to participate in the trial.

In an appeal proceedings related this dispute in the Andhra Pradesh High Court, Justice Ravi Nath Tilhari directed him to appoint an advocate to represent him after he referred to a Judge as "mad" while appearing as a Party in person.

[31] In a defamation suit (CS (OS) 1161 of 2007) filed in the Delhi High Court, Paul accused senior Indian National Congress political leaders Natwar Singh, Y. S. Rajasekhara Reddy and Pranab Mukherjee of defamation and preventing a five nation "Global Peace Tour" led by former Prime Minister of India H. D. Deve Gowda that he had organised to advocate for a permanent seat for India in the United Nations Security Council.

[33][34] Y. S. Rajasekhara Reddy was also accused by opposition party leaders of using state resources to promote his daughter Y. S. Sharmila's husband and evangelist Anil Kumar in a bid to counter and suppress Paul.

[44][45][46] He contested unsuccessfully from Visakhapatnam as a Lok Sabha candidate for 2024, securing 7,529 votes out of 1,366,795 cast with Mathukumilli Bharat emerging victorious.