DAVID C PAKULA MD NPI 1609842723

NPI Information

NPI: 1609842723
Provider Name: DAVID C PAKULA, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
222 SOUTHWAY
SUITE B
LEWISTON, ID
ZIP 83501
Phone: (208) 746-3500
Get Directions

David C Pakula, MD is an urology in Lewiston, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. David C Pakula, MD NPI is 1609842723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 SOUTHWAY
SUITE B
LEWISTON, ID
ZIP 83501-703
Phone: (208) 746-3500
Fax: (208) 746-6423

The enumeration date for this NPI number is 2/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		14070	WASHINGTON	No
2	208800000X	Urology		M4761	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1116463	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
2	B63675	MEDICARE UPIN
3	AB07441	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
4	1016252	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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