Provider Demographics
NPI:1235204330
Name:SCHNEIDER, PAUL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3430 NEWBURG RD
Mailing Address - Street 2:STE 250
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2458
Mailing Address - Country:US
Mailing Address - Phone:502-893-3963
Mailing Address - Fax:502-897-1792
Practice Address - Street 1:3430 NEWBURG RD
Practice Address - Street 2:SUITE 250
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2497
Practice Address - Country:US
Practice Address - Phone:502-893-3963
Practice Address - Fax:502-897-1792
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2016-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY21221207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1325701Medicare ID - Type Unspecified
KYC74346Medicare UPIN