Individual
WARREN B GAVIN
Active
Individual
WARREN B GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066353A
IN
208M00000X
Hospitalist Physician
01066353A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000673133
ANTHEM PTAN
IN
05
—
200990240
—
IN
01
—
P00886806
RAILROAD MEDICARE
IN
Enumeration date
05/26/2008
Last updated
03/08/2025
Update your record
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