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

Dr. Gerald Ira Polukoff, MD

Individual provider Cardiovascular Disease Physician · NPI 1215020045

Dr. Gerald Ira Polukoff, MD is a Cardiovascular Disease Physician in Logan, Utah. Licensed in Idaho and Utah. Registered with an NPI since 2006.

Licensed in
ID, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1300 N 500 E
Logan, UT 84341-2408
Phone: (435) 716-2200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 370398-1205 (UT)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 370398-1205 (UT)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence M9904 (ID)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence M-9904 (ID)

Record details

NPI number1215020045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 20, 2016

Other providers in Logan