Individual
DR. GABRA SADIK GACHAW
Active
Individual
DR. GABRA SADIK GACHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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