| Paul Md Llc | |
|
7300 Susan Springs Dr West Chester OH 45069-4082 | |
| (513) 325-4625 | |
| (513) 777-4693 |
| Full Name | Paul Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7300 Susan Springs Dr, West Chester, Ohio |
| Authorized Official Name and Position | Pawel M Szczykutowicz (OWNER) |
| Authorized Official Contact | 5137931580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Md Llc Po Box 643450 Cincinnati OH 45264-0308 Ph: (513) 325-4625 | Paul Md Llc 7300 Susan Springs Dr West Chester OH 45069-4082 Ph: (513) 325-4625 |
| NPI Number | 1013062710 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/18/2009 |
| Medicare PECOS PAC ID | 7618926551 |
|---|---|
| Medicare Enrollment ID | O20090508000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013062710 | NPI | - | NPPES |
| DC6890 | Other | OH | RR MEDICARE |
| 2948538 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Pawel M Szczykutowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831142439 PECOS PAC ID: 7214902956 Enrollment ID: I20040826001494 |
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