Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 31883 | KY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 01036999A | IN |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 31883 | KY |
NPI | 1033112354 |
---|---|
Provider Name | Dr. Shari Rosenberg Gabriel |
First Address | Louisville, KY 40205-3343 |
Second Address | Louisville, KY 40205-3343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000185962 | BLUE PREFERRED (ANTHEM) (01) | KY |
1129536 | PASSPORT (01) | KY |
64318835 | (05) | KY |
F44024 | (02) |