Doctor Name: | GUSTAV R ELES |
NPI Number: | 1063474435 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS005112L |
Business Practice Address: | 995 Beaver Grade Road Suite B Coraopolis, PA - 151082766 |
Business Phone Number: | 4122649500 |
Business Fax Number: | 4122648999 |
Mailing Address: | 995 Beaver Grade Road, Suite B CORAOPOLIS |
State: | PA |
Postal Code: | 151082766 |
Phone Number: | 4122649500 |
Fax Number: | 4122648999 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | OS005112L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |