Provider Demographics
NPI:1003782657
Name:PAWLAK, ROMAN (RDN)
Entity type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:
Last Name:PAWLAK
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 GEHRIG LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-7246
Mailing Address - Country:US
Mailing Address - Phone:252-450-9511
Mailing Address - Fax:
Practice Address - Street 1:4409 GEHRIG LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-7246
Practice Address - Country:US
Practice Address - Phone:252-450-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty