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RAFAEL L GALLARDO M.D. NPI 1578670394


NPI Information

NPI: 1578670394
Provider Name: RAFAEL L GALLARDO, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
1711 N 6 1/2 ST
STE 200
TERRE HAUTE, IN
ZIP 47804
Phone: (812) 242-3610
Get Directions

Rafael L Gallardo, M.D. is a hematology and oncology internal medicine in Terre Haute, IN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Rafael L Gallardo, M.D. NPI is 1578670394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1711 N 6 1/2 ST
STE 200
TERRE HAUTE, IN
ZIP 47804-766
Phone: (812) 242-3610
Fax: (812) 242-3630

The NPI 1578670394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology36068281ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology01060896AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200524590BMEDICAIDINDIANA
2859910UUUUMEDICARE PININDIANA
3000000372569OTHERANTHEM
4P00834944OTHERINDIANARAILROAD MEDICARE
5P00268119OTHERRAILROAD MCARE PALAMETTO
6200524590GMEDICAIDINDIANA
7IL3294004MEDICARE PINILLINOIS
8859920TMEDICARE PININDIANA
9B22849MEDICARE UPIN
10K27046MEDICARE PINILLINOIS
11841040HHMEDICARE PININDIANA
12780920HHMEDICARE PININDIANA
13301550TMEDICARE PININDIANA
14192770BBBBMEDICARE PININDIANA
15200524590YMEDICAIDINDIANA
16200524590ZMEDICAIDINDIANA
17200524590LMEDICAIDINDIANA
18265130TTMEDICARE PININDIANA
19200524590TMEDICAIDINDIANA
20200524590KMEDICAIDINDIANA
21230650FMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.