Individual
DR. NICHOLAS GEORGE POLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 OREGON AVE NW, WASHINGTON, DC 20015-1543
(202) 541-0400
(703) 348-4127
Mailing address
1426 ROSEWOOD HILL DR, VIENNA, VA 22182-1484
(703) 757-0242
(703) 348-4127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0044882
MD
207R00000X
Internal Medicine Physician
Primary
MD20177
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026071700
—
DC
01
—
28180002
CAREFIRST BCBS
—
Enumeration date
03/06/2007
Last updated
11/17/2020
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