Healthcare Provider Details

I. General information

NPI: 1558362970
Provider Name (Legal Business Name): GABOR A. WINKLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 W BRIERBROOK RD
GERMANTOWN TN
38138-2208
US

IV. Provider business mailing address

1375 W BRIERBROOK RD
GERMANTOWN TN
38138-2208
US

V. Phone/Fax

Practice location:
  • Phone: 901-390-2930
  • Fax:
Mailing address:
  • Phone: 901-390-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD418452
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number32614
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD418452
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberE-17594
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number36405
License Number StateSC
# 6
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number69307
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: