Provider Demographics
NPI:1932244340
Name:GABRIEL, PAMELA SIMONE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SIMONE
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2001 S RAINBOW BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0824
Mailing Address - Country:US
Mailing Address - Phone:702-258-8452
Mailing Address - Fax:702-259-1006
Practice Address - Street 1:2001 S RAINBOW BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0824
Practice Address - Country:US
Practice Address - Phone:702-258-8452
Practice Address - Fax:702-259-1006
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV9405208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice