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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CARL D GANDOLA, MD
1500 JAMES SIMPSON JR WAY
SUITE 201
COVINGTON, KY41011-0801
 Phone: 859-655-8980
 Fax: 859-655-8981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CARL D GANDOLA · (Male)

NPI Number 1376529461
Credentials MD
Entity Individual
Enumeration date 12/20/2005
Last updated 11/11/2015 - About 11 months ago
Sole proprietor 1 No
Identifiers
KY License # 45251
KY License # TP405
OH License # 35043698
KY Medicaid 64785306
OH Medicaid 401578
Medicare (Unspecified) GA2013562
KY Medicare PIN K042950
Medicare UPIN A78994
Hospital affiliation(s)
  • ST ELIZABETH FLORENCE - (Acute Care)
    4900 HOUSTON ROAD
    FLORENCE, KY 41042
  • ST ELIZABETH FT THOMAS - (Acute Care)
    85 NORTH GRAND AVENUE
    FORT THOMAS, KY 41075
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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