MEDICARE: GABRA S GACHAW MD LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1326996026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRA S GACHAW MD LLC

Provider Business Mailing Address
First Line	:	10357 CLIFFORD CT
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-8535
Country	:	US
Telephone Number	:	317-446-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	10357 CLIFFORD CT
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-8535
Country	:	US
Telephone Number	:	317-446-6909
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GABRA GACHAW
Credential	:	MD
Telephone Number	:	317-446-6909

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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