Provider Demographics
NPI:1730151044
Name:MICHAELS, DANKA K (MD)
Entity type:Individual
Prefix:DR
First Name:DANKA
Middle Name:K
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANKA
Other - Middle Name:KATARINA
Other - Last Name:MICHALECKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3320 N BUFFALO DR
Mailing Address - Street 2:106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7443
Mailing Address - Country:US
Mailing Address - Phone:702-869-6190
Mailing Address - Fax:702-869-6199
Practice Address - Street 1:3320 N BUFFALO DR
Practice Address - Street 2:106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7443
Practice Address - Country:US
Practice Address - Phone:702-869-6190
Practice Address - Fax:702-869-6199
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG34625Medicare UPIN