# PAVEL POLEHNA

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

## Provider details

- **NPI number:** 1427144583
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10464A | WY | — |
| 207Q00000X | Family Medicine Physician | 113948 | AK | — |
| 207Q00000X | Family Medicine Physician | 16301 | NV | — |
| 207Q00000X | Family Medicine Physician | 41935 | MT | — |
| 207Q00000X | Family Medicine Physician | 51068 | AZ | — |
| 207Q00000X | Family Medicine Physician | A97249 | CA | — |
| 207Q00000X | Family Medicine Physician | DR.0056351 | CO | — |
| 207Q00000X | Family Medicine Physician | M-13199 | ID | — |
| 207Q00000X | Family Medicine Physician | MD-18503 | HI | — |
| 207Q00000X | Family Medicine Physician | MD00047152 | WA | Yes |
| 207Q00000X | Family Medicine Physician | MD162124 | OR | — |
| 207Q00000X | Family Medicine Physician | MD2015-0793 | NM | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 04/30/2020