Individual
ABHISHEK DATTA POLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.153053
OH
207RG0100X
Gastroenterology Physician
38145
OK
390200000X
Student in an Organized Health Care Education/Training Program
244202
—
Other
Enumeration date
06/04/2014
Last updated
12/02/2025
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