IndividualActive
Paul Kostuchenko, MD
NPI 1972591055 · Dermatopathology Physician · Winston Salem, NC
Provider details
- NPI number
- 1972591055
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 200400056 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1345 Westgate Center Dr Ste B
Winston Salem, NC 27103-3041
Phone: (336) 768-1280
Fax: (336) 760-8443
Approximate (ZIP-level) locationGet directions
Mailing address
1351-B Westgate Center Dr
Winston-Salem, NC 27103-3041
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2009-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.