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1407819220

NPI Code Detail

MEDICARE: CHRISTINE R GEST MD

MEDICARE: CHRISTINE R GEST 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
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	01036382A	IN
2	207RC0000X	Cardiovascular Disease Physician	01036382A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000042525	OTHER		ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407819220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE R GEST MD

Provider Business Mailing Address
First Line	:	4015 GATEWAY BLVD
Second Line	:	SUITE 2120
City	:	NEWBURGH
State	:	IN
Zip	:	47630-8925
Country	:	US
Telephone Number	:	812-842-0907
Fax Number	:	812-464-4485

Provider Business Practice Location Address
First Line	:	4015 GATEWAY BLVD
Second Line	:	SUITE 2120
City	:	NEWBURGH
State	:	IN
Zip	:	47630-8925
Country	:	US
Telephone Number	:	812-842-0907
Fax Number	:	812-490-7054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	04/07/2016

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Directions to “ CHRISTINE R GEST MD” Practice Location

Language	Start Address	Practice Location

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