Szczykutowicz, Pawel M
Szczykutowicz, Pawel M is an individual health care provider with primary practice located at 1 Medical Village Drive , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Szczykutowicz, Pawel M can be contacted via phone (859) 301-9980.Contact Information
Primary practice address
1 Medical Village Drive
Edgewood KY 41017-3403
Phone: (859) 301-9980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35078434 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51780 | Kentucky |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 35078434 | Ohio |
Profile Details
| NPI number | 1831142439 |
|---|---|
| LBN Legal business name | Szczykutowicz, Pawel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Apr 29th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831142439 | NPPES |
| Kentucky | MEDICAID | 64103823 | |
| Kentucky | MEDICAID | 2514461 | |
| Kentucky | Other | K306490 | |
| Kentucky | Other | P00189431 | |
| Kentucky | Other | P00184161 |
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