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Individual

DR. BRIAN JOSEPH PARADOWSKI

Active
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Individual

DR. BRIAN JOSEPH PARADOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32796
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000051844
ANTHEM
KY
01
1049366
PASSPORT
KY
01
110170685
RAILROAD MEDICARE
KY
01
200110020A
INDIANA MEDICAID
KY
05
64327968
KY
Enumeration date
08/18/2005
Last updated
01/23/2019
Update your record

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