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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922056464 | NPPES |
Kentucky | Other | 000000526857 | ANTHEM BCBS |
Kentucky | MEDICAID | 6431417200 | ANTHEM BCBS |
Kentucky | Other | 000000525342 | ANTHEM BCBS |
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