Zevallos, Gabriel

Zevallos, Gabriel is an individual health care provider with primary practice located at 215 Marion Ave , Mccomb MS 39648-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Zevallos, Gabriel can be contacted via phone (601) 249-5500.

Contact Information

Primary practice address
215 Marion Ave Mccomb MS 39648-2705
Fax: (601) 249-1173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19002 Mississippi

Profile Details

NPI number 1013965599
LBN Legal business name Zevallos, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 2nd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013965599 NPPES
Mississippi MEDICAID 00827374

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