# DR. PAUL VICTOR KOWALSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740282797
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036079360 | IL | Yes |
| 207W00000X | Ophthalmology Physician | 053472 | GA | — |
| 207W00000X | Ophthalmology Physician | 200301373 | NC | — |
| 207W00000X | Ophthalmology Physician | 336042367 | IL | — |

## Other

- **Enumeration date:** 06/02/2005
- **Last updated:** 02/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 141F1 | BCBS PROV \# | NC |
| 01 | — | 33079 | OPTICARE PROVIDER NUMBER | — |
| 05 | — | 5902639 | — | NC |
| 01 | — | 807073 | PARTNERS PROV NUMBER | NC |
| 01 | — | P00395184 | RR MEDICARE PROV. NUMBER | — |