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Individual
KIBIBI GAUGHAN
Active
Individual
KIBIBI GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
226201
MA
207Q00000X
Family Medicine Physician
Primary
MD440939
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025290710001
—
PA
01
—
1591119
GATEWAY HEALTH PLAN
PA
01
—
2545705
HIGHMARK BLUE SHIELD
PA
01
—
6538657
AETNA HMO
PA
01
—
9211298
AETNA
PA
Enumeration date
01/16/2007
Last updated
10/17/2025
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