MEDICARE: MIKHAIL PALATNIK MD

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
1	207R00000X	Internal Medicine Physician	C51374	CA
2	208D00000X	General Practice Physician	FNP31727	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558312629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKHAIL PALATNIK MD

Provider Business Mailing Address
First Line	:	701 HOWE AVE
Second Line	:	SUITE C3-C5
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-4670
Country	:	US
Telephone Number	:	916-972-1100
Fax Number	:	916-972-1615

Provider Business Practice Location Address
First Line	:	5255 ELKHORN BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-2506
Country	:	US
Telephone Number	:	916-334-1100
Fax Number	:	916-334-1105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	04/18/2013

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