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NPI Code Detail

MEDICARE: GABRIELA IRINA CENTERS MD

MEDICARE:   GABRIELA IRINA CENTERS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LC0200XCritical Care Medicine (Anesthesiology) Physician01074099IN
22080P0203XPediatric Critical Care Medicine Physician01074099IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043418858
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA IRINA CENTERS MD
Provider Business Mailing Address
First Line : PO BOX 1026
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1026
Country : US
Telephone Number : 317-274-1201
Fax Number : 317-278-9905
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C300J
Second Line :
City : DALLAS
State : TX
Zip : 75230-2604
Country : US
Telephone Number : 972-401-9807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 06/13/2023

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Directions to “ GABRIELA IRINA CENTERS MD” Practice Location

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