Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONOVAN C POLACK, MD
ActiveNephrology · FLORISSANT, MO
Registration Details
- NPI Number
- 1659324465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (19.991312774747 yrs)
- Last Updated
- May 22, 2024
- Licenses
-
036-072078 (IL)R5H69 (MO)036-072078 (IL)R5H69 (MO)
Practice Information
- Address
-
1265 GRAHAM RD STE 1FLORISSANT, MO, 630318018Browse MO providers · Browse ZIP 63031
- Phone
- 3147411600
- Fax
- 3147411677
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Specialist
- Additional Specialty
- Nephrology
- Additional Specialty
- Nephrology
Other Nephrology Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ALEJANDRO ALVAREZ | MD | 1508846304 |
| FELICIA R BENTLEY | MD | 1154393437 |
| DR. CHRISTOPHER M ABEID | M.D. | 1205020666 |
| DR. NICHOLAS JOHN MAYER | D.O. | 1104075597 |
| DR. SAMEED KHALID LODHI | MD | 1356827182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.