MEDICARE: DR. EMMA KATHERINE GABOURY

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	207V00000X	Obstetrics & Gynecology Physician	4301511493	MI

General Provider Information

NPI Number	:	1679102735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMA KATHERINE GABOURY

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-4486
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 N ROCHESTER RD STE 210
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4378
Country	:	US
Telephone Number	:	248-650-1534
Fax Number	:	248-650-1537

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

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	03/20/2025

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