Provider Demographics
NPI:1669516027
Name:GABALES, MAGNO BUAYA (MD)
Entity type:Individual
Prefix:DR
First Name:MAGNO
Middle Name:BUAYA
Last Name:GABALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8801 EBY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3638
Mailing Address - Country:US
Mailing Address - Phone:913-642-2054
Mailing Address - Fax:
Practice Address - Street 1:8801 EBY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3638
Practice Address - Country:US
Practice Address - Phone:913-642-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4284412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSF38563Medicare UPIN