Provider Demographics
NPI:1538247168
Name:GABRAIL, SHEBA (MD)
Entity type:Individual
Prefix:DR
First Name:SHEBA
Middle Name:
Last Name:GABRAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:B.SHEBA
Other - Middle Name:
Other - Last Name:GABRAIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16300 SAND CANYON AVE
Mailing Address - Street 2:SUITE #906
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618
Mailing Address - Country:US
Mailing Address - Phone:949-453-9700
Mailing Address - Fax:949-453-9144
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:SUITE #906
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-453-9700
Practice Address - Fax:949-453-9144
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44848174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD83157Medicare UPIN
CA00A44848Medicare PIN