Individual provider · Type 1 NPI
Tatyana Polyak, MD
Plastic and Reconstructive Surgery Physician · Sacramento, CA
NPI number
1124555388
Active
Practice location
2335 Stockton Blvd., Naob 6th Floor
Sacramento, CA 95817
Fax (916) 734-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | A164438 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A164438 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1124555388
Tatyana Polyak, MD's National Provider Identifier is 1124555388, issued on May 18, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Sacramento, CA. The record was last updated on Aug 31, 2020.