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NPI Code Detail

MEDICARE: MICHAEL EARL GALLOWAY MD

MEDICARE: MICHAEL EARL GALLOWAY 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
12085R0001XRadiation Oncology PhysicianME86687FL
22085R0001XRadiation Oncology Physician20196WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780654913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EARL GALLOWAY MD
Provider Business Mailing Address
First Line : 812 GORMAN AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3181
Country : US
Telephone Number : 304-636-3300
Fax Number :
Provider Business Practice Location Address
First Line : 801 GORMAN AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3147
Country : US
Telephone Number : 304-637-6340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 10/02/2024

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