Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Galina Petlakh

Individual provider Community Health Worker · NPI 1992511588

Galina Petlakh is an Undefined Non-Physician Type (Specify) in Birmingham, Michigan. Graduated from Michigan College of Medicine and Surgery in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan College of Medicine and Surgery
Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

608 Purdy St
Birmingham, MI 48009-1795
Phone: (248) 320-7295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 4704211679 (MI)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1992511588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESJanuary 11, 2025
Certification dateJanuary 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolMICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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