Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 223391 | MA |
N | 208000000X | Pediatrician | 35.143876 | OH |
N | 208000000X | Pediatrician | 4301087737 | MI |
N | 2080P0202X | Pediatric Cardiologist | 35.143876 | OH |
Y | 2080P0202X | Pediatric Cardiologist | 4301087737 | MI |
N | 2080P0203X | Pediatric Critical Care Doctor | 35.143876 | OH |
NPI | 1215995956 |
---|---|
Provider Name | Dr. Michael Gati Gaies |
First Address | Cincinnati, OH 45229 |
Second Address | Cincinnati, OH 45229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2101122 | (05) | MA |