Individual
ANTHONY JAMES GALLO
Active
Individual
ANTHONY JAMES GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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