Basic Information
| Provider Information | |||||||||
| NPI: | 1639627664 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MIROSLAW SZATKO MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3121 AKALA DR | ||||||||
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| City: | KIHEI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967539406 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 221 MAHALANI ST | ||||||||
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| City: | WAILUKU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967932526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082449056 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2016 | ||||||||
| LastUpdateDate: | 10/08/2016 | ||||||||
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| AuthorizedOfficialLastName: | SZATKO | ||||||||
| AuthorizedOfficialFirstName: | MIROSLAW | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7324297123 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 18693 | HI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.