Provider Demographics
NPI:1033799713
Name:TKACZ, MATEUSZ (MD)
Entity type:Individual
Prefix:
First Name:MATEUSZ
Middle Name:
Last Name:TKACZ
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:CB# 7020, 130 MASON FARM ROAD
Mailing Address - Street 2:4TH FLOOR BIOINFORMATICS BUILDING
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7020
Mailing Address - Country:US
Mailing Address - Phone:919-966-2531
Mailing Address - Fax:
Practice Address - Street 1:CB# 7020, 130 MASON FARM ROAD
Practice Address - Street 2:4TH FLOOR BIOINFORMATICS BUILDING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7020
Practice Address - Country:US
Practice Address - Phone:919-966-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025-01748207RC0200X, 207RP1001X
IL036170685208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist