Individual
GABRIEL ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE STE 700, LANSING, MI 48912-1837
(386) 364-5550
(517) 364-5549
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 253-6320
(517) 253-6321
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
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