Provider Demographics
NPI:1316041932
Name:WHITE, GAIL MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MARGARET
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18539 HASKINS RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-1824
Mailing Address - Country:US
Mailing Address - Phone:216-262-6225
Mailing Address - Fax:
Practice Address - Street 1:18539 HASKINS RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-1824
Practice Address - Country:US
Practice Address - Phone:216-262-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-073455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2067436Medicaid
G99744Medicare UPIN
WH0885732Medicare ID - Type Unspecified