Provider Demographics
NPI:1295776730
Name:APOSTOLO, PAUL MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MICHAEL
Last Name:APOSTOLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 WILKENS AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5217
Mailing Address - Country:US
Mailing Address - Phone:410-368-4851
Mailing Address - Fax:410-646-5128
Practice Address - Street 1:3449 WILKENS AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5281
Practice Address - Country:US
Practice Address - Phone:410-368-4851
Practice Address - Fax:410-646-5128
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38326207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD533391101Medicaid
0766717OtherCIGNA
146863600OtherDEPT OF LABOR
2329433OtherAETNA
314506OtherMAMSI
MDR118OtherBCBS
424060-02OtherMD POINT OF SERVICE/PPN
03732011OtherUNITED HEALTHCARE
0766717OtherCIGNA
MDB77928Medicare UPIN
424060-02OtherMD POINT OF SERVICE/PPN
MDAAA4Medicare ID - Type Unspecified