Individual
RAUL J GAGUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5148
(740) 446-5488
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5148
(740) 446-5488
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
17773
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-07-2887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007412
ANTHEM BCBS
—
01
—
000000191258
UNISON MEDICAID
OH
05
—
0102973000
—
WV
01
—
2031376
MOLINA MEDICAID
OH
05
—
2031376
—
OH
01
—
220020393
RR MEDICARE
—
01
—
310917085139
CARESOURCE MEDICAID
OH
Enumeration date
05/19/2006
Last updated
01/21/2021
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