| Jacqueline Fabello-gamiao Md Pc | |
|
37650 Professional Center Dr Stuite 100a Livonia MI 48154-1197 | |
| (734) 462-1940 | |
| (734) 462-1960 |
| Full Name | Jacqueline Fabello-gamiao Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37650 Professional Center Dr, Livonia, Michigan |
| Authorized Official Name and Position | Jacqueline Fabello-gamiao (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7344621940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Fabello-gamiao Md Pc 37650 Professional Center Dr Stuite 100a Livonia MI 48154-1197 Ph: (734) 462-1940 | Jacqueline Fabello-gamiao Md Pc 37650 Professional Center Dr Stuite 100a Livonia MI 48154-1197 Ph: (734) 462-1940 |
| NPI Number | 1750608345 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 4688866536 |
|---|---|
| Medicare Enrollment ID | O20101011000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750608345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301060039 (Michigan) | Primary |
| Provider Name | Jacqueline Fabello Gamiao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144208232 PECOS PAC ID: 3375596216 Enrollment ID: I20050302000953 |
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