# MR. FREDERICK LEON POLANDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265537021
- **Gender:** Man
- **Credential:** P.A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | TL1940 | SC | Yes |
| 363AM0700X | Medical Physician Assistant | MA002186L | PA | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175863 | UNITED HEALTHCARE | WV |
| 01 | — | 5627895 | AETNA | SC |
| 01 | — | 80026712 | SELECT HEALTH | SC |
| 01 | — | 8600568 | AETNA | WV |
| 01 | — | P01225399 | RAILROAD MCR | SC |