Elena L Polukhin in Saint Louis Park - Physical Medicine & Rehabilitation

Elena L Polukhin - NPI 1336187814

Elena L Polukhin is a Physical Medicine & Rehabilitation in Saint Louis Park, Minnesota. Elena L Polukhin practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Elena L Polukhin is 1336187814. The last update date is 2007-07-08.

Elena L Polukhin's current location address is 3015 Utah Ave S, Saint Louis Park, Minnesota. You can contact this provider via phone number 9529331121 and fax number 9529459536. The mailing address for Elena L Polukhin is 3015 Utah Ave S, Saint Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Elena L Polukhin
Address 3015 Utah Ave S, Saint Louis Park, Minnesota
Phone Number 9529331121
Fax Number 9529459536
Sole Proprietor N
Credentials MD, PHD

NPI Number Detail

NPI Number 1336187814
Provider Enumeration Date 2006-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3015 Utah Ave S
City Saint Louis Park
State Minnesota (MN)
Post Code 554263671
Phone Number 9529331121
Fax Number 9529459536

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 45600
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
630074000 MN --

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FAQs about Elena L Polukhin

What is the unique identification code assigned to Elena L Polukhin by the Centers for Medicare & Medicaid Services?

The Elena L Polukhin has been issued the NPI (National Provider Identifier) 1336187814. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Elena L Polukhin?

The Elena L Polukhin is physically situated at 3015 Utah Ave S, in the city of Saint Louis Park, state of MN, with the postal code 554263671.

What is Elena L Polukhin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Elena L Polukhin is Physical Medicine & Rehabilitation, and the taxonomy code that classifies this field of practice is 208100000X.

When did the Elena L Polukhin receive its 1336187814?

The Elena L Polukhin was issued its 1336187814 on 2006-06-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Elena L Polukhin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elena L Polukhin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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