Healthcare Provider Details

I. General information

NPI: 1245269554
Provider Name (Legal Business Name): MARGARET M SZABUNIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST HX314A
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

800 ROSE ST HX314A
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5069
  • Fax:
Mailing address:
  • Phone: 859-323-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME 57828
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number43979
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number43979
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: