Individual
DR. PAWEL M SZCZYKUTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017-3403
(859) 301-9980
Mailing address
PO BOX 637848, CINCINNATI, OH 45263-7848
(513) 325-4625
(513) 777-4693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35078434
OH
207R00000X
Internal Medicine Physician
Primary
51780
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35078434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2514461
—
OH
05
—
64103823
—
KY
01
—
K306490
KENTUCKY PAUL MD MCR
KY
01
—
P00184161
RR MEDICARE
OH
01
—
P00189431
RAILROAD MEDICARE
OH
Enumeration date
05/18/2006
Last updated
04/29/2025
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