Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD469081 | PA |
Y | 208600000X | Surgeon | MD469081 | PA |
N | 208200000X | Surgeon | MT207214 | PA |
N | 208600000X | Surgeon | MT207214 | PA |
NPI | 1013321603 |
---|---|
Provider Name | Gabriel Mekel Nakhal |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-5672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2014 |
Last Update Date | 13/07/2020 |