Provider Demographics
NPI:1417011446
Name:GALARNYK, IHOR ANTON-MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:IHOR
Middle Name:ANTON-MICHAEL
Last Name:GALARNYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42700 BOB HOPE DR STE 308
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7161
Mailing Address - Country:US
Mailing Address - Phone:760-341-8341
Mailing Address - Fax:
Practice Address - Street 1:42700 BOB HOPE DR STE 308
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-7161
Practice Address - Country:US
Practice Address - Phone:760-341-8341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG06265502084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G626550Medicare ID - Type Unspecified
CAF24837Medicare UPIN