DR. GARY WALLACE PLATT M.D. NPI 1922064179

NPI Information

NPI: 1922064179
Provider Name: DR. GARY WALLACE PLATT, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
1429 COLLEGE AVE
SUITE L
MODESTO, CA
ZIP 95350
Phone: (209) 557-5995
Get Directions

DR. Gary Wallace Platt, M.D. is a neurology psychiatry neurology in Modesto, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Gary Wallace Platt, M.D. NPI is 1922064179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1429 COLLEGE AVE
SUITE L
MODESTO, CA
ZIP 95350-057
Phone: (209) 557-5995
Fax: (209) 557-5998

The enumeration date for this NPI number is 4/25/2006 and was last updated on 4/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	G40785	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A48351	MEDICARE UPIN	CALIFORNIA
2	00G407850	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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