Gregory I Gabliani, M.D.
Internal Medicine, Cardiovascular Disease in Saint Louis, MO. Individual provider (NPI-1).
NPI number1629007331
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1629007331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory I Gabliani
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2006
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | R7F54 | MO | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 036-104678 | IL |
Practice location
11125 Dunn RdSuite 204
Saint Louis, MO 63136-6132
Phone 314-839-5522 · Fax 314-839-5351
Mailing address
11125 Dunn RdSuite 204
Saint Louis, MO 63136-6132
Phone 314-839-5522 · Fax 314-839-5351
Other practice locations
300 Medical Plz Ste 150
Lake St Louis, MO 63367-1483
Lake St Louis, MO 63367-1483
Phone 636-625-2662
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