Healthcare Provider Details

I. General information

NPI: 1144271420
Provider Name (Legal Business Name): FRANK NORMAN SLACHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 J ST SUITE 270
SACRAMENTO CA
95819-3628
US

IV. Provider business mailing address

3941 J ST SUITE 270
SACRAMENTO CA
95819-3628
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-6850
  • Fax: 916-733-6824
Mailing address:
  • Phone: 916-733-6850
  • Fax: 916-733-6824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberMD-20629
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberG50487
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: