GABRIEL ELIA YACOB — Medicare Enrolled Provider (PRACTITIONER - PAIN MANAGEMENT, WV)
GABRIEL ELIA YACOB — Medicare Enrolled Provider (PRACTITIONER - PAIN MANAGEMENT, WV) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: GABRIEL ELIA YACOB; Type: Individual; NPI: 1003107285.
| Name | GABRIEL ELIA YACOB |
|---|---|
| Type | Individual |
| NPI | 1003107285 |
| Provider type | PRACTITIONER - PAIN MANAGEMENT |
| State | WV |
| Enrollment ID | I20230807003904 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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