Provider Demographics
NPI:1407860919
Name:GABRIEL, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 E NORTH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3724
Mailing Address - Country:US
Mailing Address - Phone:724-656-0826
Mailing Address - Fax:724-658-4709
Practice Address - Street 1:29 E NORTH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3724
Practice Address - Country:US
Practice Address - Phone:724-656-0826
Practice Address - Fax:724-658-4709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026258E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009005650002Medicaid
PADG4589OtherRAILROAD MEDICARE
PA000366095OtherBLUE SHIELD
PA000366095OtherBLUE SHIELD
PA428936PMSMedicare PIN