Gangan, Celso A
Gangan, Celso A is an individual health care provider with primary practice located at 1245 Nw 4Th St Ste 201, Redmond OR 97756-1680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gangan, Celso A can be contacted via phone (541) 323-4545.Contact Information
Primary practice address
1245 Nw 4Th St Ste 201
Redmond OR 97756-1680
Phone: (541) 323-4545
Fax: (541) 323-4546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23086 | Oregon |
Profile Details
| NPI number | 1598761959 |
|---|---|
| LBN Legal business name | Gangan, Celso A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 28th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598761959 | NPPES |
| Oregon | MEDICAID | 287491 |
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