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NPI Code Detail

MEDICARE: DR. JAMES M PAWLUS M.D.

MEDICARE: DR. JAMES M PAWLUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianME61116FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447242946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M PAWLUS M.D.
Provider Business Mailing Address
First Line : PO BOX 1187
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1187
Country : US
Telephone Number : 888-656-6020
Fax Number : 317-705-5060
Provider Business Practice Location Address
First Line : 1441 RIDGE ST
Second Line :
City : NAPLES
State : FL
Zip : 34103-4211
Country : US
Telephone Number : 239-643-1155
Fax Number : 239-643-9816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 05/01/2012

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