Individual
DR. GERARD PAUL RABALAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, STE 802, LOUISVILLE, KY 40202-3904
(502) 588-2348
(502) 588-2334
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25426
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
25426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376310
—
IN
05
—
64254265
—
KY
Enumeration date
11/30/2005
Last updated
09/03/2021
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