Provider Demographics
NPI:1346219466
Name:NASHAT Y GABRAIL MD INC
Entity Type:Organization
Organization Name:NASHAT Y GABRAIL MD INC
Other - Org Name:GABRAIL CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NASHAT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GABRAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-492-3345
Mailing Address - Street 1:4875 HIGBEE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2566
Mailing Address - Country:US
Mailing Address - Phone:330-492-3345
Mailing Address - Fax:330-491-9758
Practice Address - Street 1:4875 HIGBEE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2566
Practice Address - Country:US
Practice Address - Phone:330-492-3345
Practice Address - Fax:330-492-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-0196174400000X
OH35060196G332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0796018Medicaid
OHNA9313761Medicare ID - Type UnspecifiedMCR GROUP #
OH0796018Medicaid