Provider Demographics
NPI:1154431120
Name:GLAFKIDES, MICHAEL C (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:GLAFKIDES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 S SAN MATEO DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3843
Mailing Address - Country:US
Mailing Address - Phone:650-347-7900
Mailing Address - Fax:650-347-7903
Practice Address - Street 1:1001 SNEATH LN STE 200
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-2349
Practice Address - Country:US
Practice Address - Phone:650-244-0600
Practice Address - Fax:650-873-2774
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG510082082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE50192Medicare UPIN
CA00G510080Medicare ID - Type Unspecified