Organization
GABRA S GACHAW MD PC
Active
Other names
Inter-Act
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE L STEWART LCSW (OFFICE MANAGER)
(317) 718-0605
Entity
Organization
Contact information
Practice address
258 MEADOW DR, DANVILLE, IN 46122
(317) 718-0605
(317) 718-0720
Mailing address
258 MEADOW DR, DANVILLE, IN 46122
(317) 718-0605
(317) 718-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000103257
ANTHEM BCBS
—
01
—
7216252
AETNA
—
Enumeration date
08/14/2006
Last updated
09/11/2025
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