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NPI Code Detail

MEDICARE: DR. MITCHELL JAY GALERKIN M.D.

MEDICARE: DR. MITCHELL JAY GALERKIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG66328CA
22084P0800XPsychiatry Physician22625NV

General Provider Information

NPI Number : 1467440339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL JAY GALERKIN M.D.
Provider Business Mailing Address
First Line : 35 REFLECTION BAY DR
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4290
Country : US
Telephone Number : 916-768-4289
Fax Number :
Provider Business Practice Location Address
First Line : 170 S GREEN VALLEY PKWY STE 300
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3145
Country : US
Telephone Number : 702-832-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 01/12/2023

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