Individual
DR. GABRA SADIK GACHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6319 E US HIGHWAY 36 STE 50, AVON, IN 46123-6210
(317) 272-2190
Mailing address
6319 E US HYWY 36, BOX 50, AVON, IN 46123
(317) 272-2190
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01034166A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091034
ANTHEM BC/BS
—
01
—
06014100
MAGELLAN
—
01
—
075196
VALUE OPTIONS
—
05
—
100227780
—
IN
05
—
100227780A
—
IN
01
—
11383779
CAQH
—
01
—
25087
MHN
—
01
—
4620202
AETNA
—
Enumeration date
08/14/2006
Last updated
08/12/2013
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