Individual
DR. GABRIEL A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, PATHOLOGY DEPT, ASHLAND, KY 41101-7034
(606) 833-3634
(606) 836-9914
Mailing address
PO BOX 1629, ASHLAND, KY 41105-1629
(502) 458-8653
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388383
ANTHEM BLUE CROSS BS
KY
05
—
3810005530
—
WV
01
—
50007952
PASSPORT MEDICAID
KY
01
—
608673400
US DEPT OF LABOR
—
05
—
64113780
—
KY
01
—
P00283613
RAILROAD MEDICARE
—
Enumeration date
07/24/2006
Last updated
09/12/2011
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