Provider Demographics
NPI:1255531562
Name:GABLE, ASHLEY DIANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:DIANNE
Last Name:GABLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:GABLE
Other - Last Name:PERNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2738 E 51ST ST STE 240
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6271
Mailing Address - Country:US
Mailing Address - Phone:918-712-5571
Mailing Address - Fax:918-747-7831
Practice Address - Street 1:6565 S YALE AVE STE 410
Practice Address - Street 2:TULSA MEDICAL LAB, KELLY PROFESSIONAL BLDG.
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8305
Practice Address - Country:US
Practice Address - Phone:918-481-7844
Practice Address - Fax:918-481-7852
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00233207ZD0900X, 207ZP0102X
OK26242207ZP0102X, 207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology