Individual
GABRIEL ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301095830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063002
MCLAREN HEALTH ADVANTAGE
MI
01
—
1103304272
BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK
MI
01
—
200000024946
PHYSICIANS HEALTH PLAN-COMMERCIAL
MI
01
—
9421467
AETNA
MI
01
—
P00848492
MEDICARE RAILROAD
MI
Enumeration date
02/06/2007
Last updated
02/19/2020
Update your record
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