Provider Demographics
NPI:1790769685
Name:POLLAK, ARNOLD JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:JAY
Last Name:POLLAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10168 MACKEY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3464
Mailing Address - Country:US
Mailing Address - Phone:206-349-3367
Mailing Address - Fax:206-649-7013
Practice Address - Street 1:10168 MACKEY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3464
Practice Address - Country:US
Practice Address - Phone:206-349-3367
Practice Address - Fax:206-649-7013
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-04
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63848207RC0000X
KS04-38806207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease