Individual
DR. MICHAEL R GORALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706-0177
(775) 883-9003
(775) 883-0959
Mailing address
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706-0177
(775) 883-9003
(775) 883-0959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13288C
WY
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
8584
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013070
—
NV
05
—
003113070
—
NV
01
—
110238211
RAILROAD MEDICARE #
NV
01
—
CC2258
BCBS PROVIDER #
NV
Enumeration date
01/26/2007
Last updated
03/04/2021
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