Gaba, Charles Edward

Gaba, Charles Edward is an individual health care provider with primary practice located at 11600 Main St , Louisville KY 40243-1318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gaba, Charles Edward can be contacted via phone (502) 245-4168.

Contact Information

Primary practice address
11600 Main St Louisville KY 40243-1318
Fax: (502) 244-4054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31296 Kentucky

Profile Details

NPI number 1801866025
LBN Legal business name Gaba, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801866025 NPPES
Kentucky MEDICAID 64312960

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