MEDICARE: DR. SHELDON POLONSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35060111	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013953603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON POLONSKY MD

Provider Business Mailing Address
First Line	:	2750 BEEKMAN STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255
Country	:	US
Telephone Number	:	513-517-2000
Fax Number	:	513-517-2022

Provider Business Practice Location Address
First Line	:	2750 BEEKMAN STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255
Country	:	US
Telephone Number	:	513-517-2000
Fax Number	:	513-517-2022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	12/12/2016

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Directions to “ DR. SHELDON POLONSKY MD” Practice Location

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