Individual provider · Type 1 NPI

Inna Polyakov, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1063640019 Active

Practice location

1200 Walnut St Apt 505
Philadelphia, PA 19107-5449

Call (757) 636-6067 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X195244 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063640019

Inna Polyakov, MD's National Provider Identifier is 1063640019, issued on Jun 29, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2009.