Provider Demographics
NPI:1588864326
Name:GABRIEL, ASHER (MD)
Entity type:Individual
Prefix:DR
First Name:ASHER
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AISHAT
Other - Middle Name:
Other - Last Name:ODIDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14 KNOX ST
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906
Mailing Address - Country:US
Mailing Address - Phone:631-790-2862
Mailing Address - Fax:
Practice Address - Street 1:122 JOYCE ROBBINS DR APT 102
Practice Address - Street 2:
Practice Address - City:PENNINGTON GAP
Practice Address - State:VA
Practice Address - Zip Code:24277-7934
Practice Address - Country:US
Practice Address - Phone:631-790-2862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248583164W00000X
VA0101255329208D00000X
KY49069208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No164W00000XNursing Service ProvidersLicensed Practical Nurse