Healthcare Provider Details

I. General information

NPI: 1447334545
Provider Name (Legal Business Name): STEVEN GABBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 12TH AVE RM 582
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3069
  • Fax: 614-293-4162
Mailing address:
  • Phone: 614-293-3069
  • Fax: 614-293-4162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number35055478
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: