Provider Demographics
NPI:1891797189
Name:WEINBERG, GABRIEL T (DO)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:T
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2706
Mailing Address - Country:US
Mailing Address - Phone:412-766-3232
Mailing Address - Fax:412-766-4320
Practice Address - Street 1:824 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-2706
Practice Address - Country:US
Practice Address - Phone:412-766-3232
Practice Address - Fax:412-766-4320
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006724207RN0300X
PAOS007934L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0081048000Medicaid
PA016421420Medicaid
OH2032900Medicaid
PA016421420Medicaid
390004750Medicare ID - Type UnspecifiedRAILROAD MEDICARE
G49583Medicare UPIN
OH2032900Medicaid
PA102031OtherUPMC
PA896975HYPMedicare ID - Type Unspecified
807969OtherAETNA
G49583Medicare UPIN
1522174Medicare ID - Type UnspecifiedUMWA
OH0838541Medicare ID - Type Unspecified
WV0081048000Medicaid
WV251423634020OtherMT. STATE BC/BS