Provider Demographics
| NPI: | 1427139757 |
|---|---|
| Name: | GABRIEL, HOSNY S (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | HOSNY |
| Middle Name: | S |
| Last Name: | GABRIEL |
| 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: | 6225 N STATE HIGHWAY 161 STE 200 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | IRVING |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75038-2241 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 214-967-0496 |
| Mailing Address - Fax: | 214-987-9344 |
| Practice Address - Street 1: | 1340 HAL GREER BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | HUNTINGTON |
| Practice Address - State: | WV |
| Practice Address - Zip Code: | 25701-3800 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 205-322-1808 |
| Practice Address - Fax: | 205-322-1851 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-10-17 |
| Last Update Date: | 2018-03-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WV | 14490 | 207L00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| WV | 001720970 | Other | BCBS |
| OH | 0775451 | Medicaid | |
| OH | 1001645 | Other | WORKERS' COMP |
| P00231032 | Other | PALMETTO GBA-RR MEDICARE | |
| WV | 0057980000 | Medicaid | |
| KY | 64697915 | Medicaid | |
| WV | 0057980000 | Medicaid |