Individual
ANTHONY JAMES GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 COLLEGE ST STE 1, RAD: DIAGNOSTIC, PIKEVILLE, KY 41501-4786
(606) 432-1357
(606) 432-2457
Mailing address
PO BOX 2648, RAD: DIAGNOSTIC, PIKEVILLE, KY 41502
(606) 432-1357
(606) 432-2457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000872442
ANTHEM
KY
05
—
2014248664
—
VA
01
—
304018
COVENTRY
KY
01
—
3810028087
MOLINA WEST VA MAA
WV
01
—
7100297390
KENTUCKY MEDICAID
KY
01
—
986408
WELLCARE OF KENTUCKY
KY
01
—
P01342718
PALMETTO GBA
KY
Enumeration date
06/08/2010
Last updated
05/11/2015
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