Provider Demographics
NPI:1841247939
Name:GELVES, GABRIEL (DO)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:GELVES
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 1:1560 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2217
Mailing Address - Country:US
Mailing Address - Phone:516-424-6041
Mailing Address - Fax:
Practice Address - Street 1:4000 EMPIRE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0441
Practice Address - Country:US
Practice Address - Phone:661-631-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2157882085R0202X
CA20A114112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology