Provider Demographics
NPI:1366281990
Name:POLAT, ONUR
Entity type:Individual
Prefix:
First Name:ONUR
Middle Name:
Last Name:POLAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 LOWELL AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2369
Mailing Address - Country:US
Mailing Address - Phone:513-331-1484
Mailing Address - Fax:
Practice Address - Street 1:630 LOWELL AVE APT 21
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2369
Practice Address - Country:US
Practice Address - Phone:513-331-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant