Individual
RYAN T GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 272-8806
(804) 272-2909
Mailing address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 272-8806
(804) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101253080
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134419807
—
VA
Enumeration date
04/14/2011
Last updated
07/21/2022
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