George N Polis, Md, Pc | |
1426 Rosewood Hill Dr Vienna VA 22182-1484 | |
(703) 757-0242 | |
(703) 348-4127 |
Full Name | George N Polis, Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 1426 Rosewood Hill Dr, Vienna, Virginia |
Authorized Official Name and Position | Nicholas George Polis (PRESIDENT) |
Authorized Official Contact | 8002839078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George N Polis, Md, Pc Po Box 8335 Reston VA 20195-2235 Ph: (301) 801-9750 | George N Polis, Md, Pc 1426 Rosewood Hill Dr Vienna VA 22182-1484 Ph: (703) 757-0242 |
NPI Number | 1952624876 |
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Provider Enumeration Date | 03/05/2010 |
Last Update Date | 11/17/2020 |
Medicare PECOS PAC ID | 2860527710 |
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Medicare Enrollment ID | O20100317000152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952624876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nicholas George Polis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447380779 PECOS PAC ID: 1153588611 Enrollment ID: I20120210000549 |
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