Provider Demographics
NPI:1730148362
Name:GABOS, DENNIS KEVIN (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:KEVIN
Last Name:GABOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 VANADIUM RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1497
Mailing Address - Country:US
Mailing Address - Phone:412-429-8840
Mailing Address - Fax:412-429-8067
Practice Address - Street 1:490 E NORTH AVENUE
Practice Address - Street 2:ALLEGHENY PROFESSIONAL BLDG STE 106
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-322-1994
Practice Address - Fax:412-322-1060
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030328E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1002104030005Medicaid
B34243Medicare UPIN
PA1002104030005Medicaid