Individual
MR. HARI MOMIR POLENAKOVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3376
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.074531
OH
207RI0200X
Infectious Disease Physician
35-07-4531-P
OH
208M00000X
Hospitalist Physician
Primary
35.074531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207301
—
OH
Enumeration date
12/11/2006
Last updated
04/01/2025
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