Provider Demographics
NPI:1386736361
Name:ALMEIDA, GABRIEL G (MD)
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:G
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E. WARWICK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801
Mailing Address - Country:US
Mailing Address - Phone:989-463-1101
Mailing Address - Fax:989-466-7259
Practice Address - Street 1:300 E. WARWICK DRIVE
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801
Practice Address - Country:US
Practice Address - Phone:989-463-1101
Practice Address - Fax:989-466-7259
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031287207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301031287OtherSTATE LICENSE NUMBER
MI4301031287OtherSTATE LICENSE NUMBER