Provider Demographics
NPI:1245346196
Name:BYKOWSKY, MICHAEL J (MD PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:BYKOWSKY
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:1 RICHLAND MEDICAL PARK DR STE 200
Mailing Address - Street 2:CAROLINA ALLERGY AND ASTHMA CONSULTANTS
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6830
Mailing Address - Country:US
Mailing Address - Phone:803-765-9233
Mailing Address - Fax:803-779-0344
Practice Address - Street 1:1 RICHLAND MEDICAL PARK DR STE 200
Practice Address - Street 2:CAROLINA ALLERGY AND ASTHMA CONSULTANTS
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6830
Practice Address - Country:US
Practice Address - Phone:803-765-9233
Practice Address - Fax:803-779-0344
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-11-24
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Provider Licenses
StateLicense IDTaxonomies
SC17903207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G04115Medicare UPIN
SCT18433Medicare ID - Type Unspecified
SCG041155396Medicare ID - Type Unspecified