Provider Demographics
NPI:1609909274
Name:PLATT, MICHAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:PLATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40493 DESERT CREEK LN
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4057
Mailing Address - Country:US
Mailing Address - Phone:760-346-7446
Mailing Address - Fax:
Practice Address - Street 1:72785 FRANK SINATRA DR
Practice Address - Street 2:STE 100
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-836-3232
Practice Address - Fax:760-836-3234
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2008-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG23729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42051Medicare UPIN