Mamauag, Gilbert M

Mamauag, Gilbert M is an individual health care provider with primary practice located at 346 Beechwood Dr , London KY 40744-5403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mamauag, Gilbert M can be contacted via phone (859) 227-7666.

Contact Information

Primary practice address
346 Beechwood Dr London KY 40744-5403
Phone: (859) 227-7666
Fax: (606) 864-4774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31417 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31417 Kentucky

Profile Details

NPI number 1922056464
LBN Legal business name Mamauag, Gilbert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 10th, 2023 - about 2 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 1922056464 NPPES
Kentucky Other 000000526857 ANTHEM BCBS
Kentucky MEDICAID 6431417200 ANTHEM BCBS
Kentucky Other 000000525342 ANTHEM BCBS

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