Individual
PAUL JANOTKA
Active
Individual
PAUL JANOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
29748
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
70155
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME 107308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61400002
BLUECROSS PROVIDER NUMBER
MD
01
—
70155
MEDICAL LICENSE
GA
01
—
ME 107308
MEDICAL LICENSE
FL
Enumeration date
06/27/2006
Last updated
11/04/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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