Individual
DR. CHARLES EDWARD GABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 MAIN ST, LOUISVILLE, KY 40243-1318
(502) 245-4168
(502) 244-4054
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64312960
—
KY
Enumeration date
01/23/2006
Last updated
12/11/2020
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