NPI Code Details Logo

NPI 1710966247

NPI 1710966247 : PIOTR N GALASKA MD : MEMPHIS, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710966247
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PIOTR N GALASKA MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/12/2006
-----------------------------------------------------
    Last Update Date     |    09/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    116 N PAULINE ST 
-----------------------------------------------------
    City                 |    MEMPHIS
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38104-1005
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    901-523-8990
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2298 TURPINS GLEN DR 
-----------------------------------------------------
    City                 |    GERMANTOWN
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38138-5832
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    48363
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207PE0004X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
-----------------------------------------------------
    License Number       |    200201248
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    01085264A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.