Provider Demographics
NPI:1295783884
Name:WRIGHT, GARAH E (MD)
Entity type:Individual
Prefix:DR
First Name:GARAH
Middle Name:E
Last Name:WRIGHT
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:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:270-827-0064
Mailing Address - Fax:270-826-3338
Practice Address - Street 1:1300 MERRITT DR STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2788
Practice Address - Country:US
Practice Address - Phone:270-827-0064
Practice Address - Fax:270-826-3338
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055090A207Q00000X
KY37490207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
614181OtherHEALTHLINK
KY64070444Medicaid
000000291669OtherANTHEM
KY0396022Medicare PIN
KY0756303Medicare ID - Type UnspecifiedKY MCR
H57279Medicare UPIN
KY64070444Medicaid
000000291669OtherANTHEM
614181OtherHEALTHLINK