Individual
TATYANA POLYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2335 STOCKTON BLVD., NAOB 6TH FLOOR, SACRAMENTO, CA 95817
(916) 734-7289
(916) 734-7104
Mailing address
2335 STOCKTON BLVD., NAOB 6TH FLOOR, SACRAMENTO, CA 95817
(916) 734-7289
(916) 734-7104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A164438
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A164438
CA
Other
Enumeration date
05/18/2017
Last updated
08/31/2020
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