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Individual

GABRIEL A OJEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 DOHI DR, LOUDON, TN 37774-2851
(865) 647-3520
(865) 647-3529
Mailing address
202 DOHI DR, LOUDON, TN 37774-2851
(865) 647-3520
(865) 647-3529

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21117
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060040858
RR MEDICARE PIN
TN
05
3072909
TN
Enumeration date
06/28/2006
Last updated
04/24/2018
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