Individual
STANISLAV M POLIASHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6240
GA
2085R0202X
Diagnostic Radiology Physician
Primary
61493
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257135
MEDICARE
KS
01
—
832216
MEDICARE
CO
01
—
832218
MEDICARE
CO
01
—
832219
MEDICARE
CO
05
—
9000170766
—
CO
01
—
KA3249126
MEDICARE
KS
01
—
NA1214147
MEDICARE
NE
01
—
NA1215148
MEDICARE
NE
01
—
NA2517124
MEDICARE
NE
Enumeration date
04/22/2013
Last updated
03/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us