Individual
POLINA N KYRIAKIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
Mailing address
PO BOX 4952, HOUSTON, TX 77210-4952
(713) 621-7436
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M4258
TX
2085R0204X
Vascular & Interventional Radiology Physician
M4258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177080201
—
TX
01
—
177080202
CSCHN
TX
01
—
85719Y
BCBS
TX
Enumeration date
06/02/2006
Last updated
01/31/2022
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