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Individual

LAKSHMAIAH POLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7255 OLD OAK BLVD, SUITE C412, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-4546
(440) 816-4549
Mailing address
7255 OLD OAK BLVD, SUITE C412, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-4546
(440) 816-4549

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35040398
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0468579
OH
Enumeration date
07/15/2005
Last updated
07/23/2015
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