Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Poluha, MBBCHBAO

Individual provider Internal Medicine Physician · NPI 1417792847

Alex Poluha, MBBCHBAO is an Internal Medicine Physician in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2024

Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LP06429 (RI)

Record details

NPI number1417792847
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCHBAO
Sole proprietorYes
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 17, 2024

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