Individual
GREGORY PAUL POLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6925 E 96TH ST, SUITE 150, INDIANAPOLIS, IN 46250-3644
(317) 621-6925
(317) 621-6950
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073864A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201113370
—
IN
01
—
P01512452
RR MEDICARE
IN
Enumeration date
08/09/2010
Last updated
11/27/2023
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