Poliakova, Marina
Poliakova, Marina is an individual health care provider with primary practice located at 6803 Mayfield Rd Suite 403, Mayfield Hts OH 44124-2271. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Poliakova, Marina can be contacted via phone (440) 312-1969.Contact Information
Primary practice address
6803 Mayfield Rd Suite 403
Mayfield Hts OH 44124-2271
Phone: (440) 312-1969
Fax: (440) 312-1969
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35077135 | Ohio |
Profile Details
NPI number | 1114983970 |
---|---|
LBN Legal business name | Poliakova, Marina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Jan 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114983970 | NPPES |
Tennessee | MEDICAID | 3867949 | |
Tennessee | MEDICAID | 2747237 |
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